CMS Price Transparency Data

Blood test, sodium

Facility: HCA Florida Highlands Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Florida Highlands Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $158 (3285%)
Insurance Median: $8 (166%)
Cash: $158 (3285% of Medicare)
Ins. Median: $8 (166% 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.

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
Aetna $5 - $47 104%
American Health Plan $5 104%
Blue Cross Blue Shield $5 104%
Centurion $5 104%
Cigna $5 104%
Devoted Health $5 104%
Florida Complete Care $5 104%
Humana $5 - $63 104%
Ndms Definitive Care $5 104%
Prominence Healthfirst $5 104%
Sunshine State $5 104%
United $5 - $71 104%
Wellmed $5 104%
Amerihealth Caritas $6 125%
Longevity Health Plan $6 125%
Oscar $9 187%
Simply Healthcare $11 229%
Freedom Health $14 291%
Avmed $21 - $79 437%
Molina $30 624%
Prime Health $43 894%
Office Of Sheiff Highland Co $55 1143%
United Ppo $70 1455%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals