CMS Price Transparency Data

Blood test, sodium

Facility: Kingman Regional Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $189
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 39.29x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Kingman Regional Medical Center is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 39.29x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)
Cash / Self-Pay: $85 (1767%)
Insurance Median: $189 (3929%)
Cash: $85 (1767% of Medicare)
Ins. Median: $189 (3929% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3929% of the Medicare baseline (a markup of 3829%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Care 1St Mcr Adv-All Other Plans $5 104%
Health Choice Generations $5 104%
Hpn Sierra Nevada Mcr Adv $5 104%
Humana $5 - $184 104%
Medicare (plans) $5 104%
Mercy Care Adv Snp-All Other Plans $5 104%
Triwest - All Plans $5 104%
UnitedHealthcare $5 - $134 104%
Geo Group Chc Az State Prison-All Plans $7 146%
Aetna $10 - $13 208%
Health Choice- All Other Plans $12 249%
Blue Cross Blue Shield $123 - $153 2557%
Health Plan Of Nevada-All Other Plans $130 - $162 2703%
Health Choice Hie Exchange $172 - $215 3576%
Multiplan-All Plans $172 - $215 3576%
Cigna $194 - $242 4033%
Three Rivers-All Plans $198 - $247 4116%
America'S Choice Provider Network-All Plans $204 - $256 4241%
Apipa - Ahcccs-All Other Plans $215 - $269 4470%
Az Foundation-All Plans $215 - $269 4470%
Health Choice Az $215 - $269 4470%
Mediversal-All Plans $215 - $269 4470%
One Health Plan-All Plans $215 - $269 4470%
Universal Health-All Plans $215 - $269 4470%
Care 1St Mcaid $226 - $282 4699%
Mercy Care Ahcccs Ddd $236 - $296 4906%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals