CMS Price Transparency Data

Blood test, sodium

Facility: HCA Florida Twin Cities Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $47
  • Cash Discount Price: $334
  • vs. Medicare Baseline: 9.77x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Florida Twin Cities Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $334. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 9.77x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$334

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $334 (6944%)
Insurance Median: $47 (977%)
Cash: $334 (6944% of Medicare)
Ins. Median: $47 (977% 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 977% of the Medicare baseline (a markup of 877%). 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
Humana $4 - $127 83%
Aetna $5 - $100 104%
American Health Plan $5 104%
Blue Cross Blue Shield $5 104%
Centurion $5 104%
Clear Spring Health $5 104%
Florida Complete Care $5 104%
Gold Kidney Of Florida $5 104%
Healthspring Of Florida $5 104%
Ndms Definitive Care $5 104%
Regency Hospice $5 104%
Sunshine State $5 104%
United $5 - $150 104%
Wellcare $5 104%
Wellmed $5 104%
Longevity Health Plan $6 125%
Oscar $6 125%
Ultimate Health Plan $6 125%
Simply Healthcare $8 166%
Corvel Corporation $47 977%
Prime Health $48 998%
Careworks (Rockport Community) $49 1019%
Simply $51 1060%
Molina Healthcare $63 - $107 1310%
Avmed $80 - $167 1663%
Sunshine State Health Plan $85 1767%
Plotkin Health $167 3472%
Prime Health Sheriff $167 3472%
Evolutions Healthcare $217 - $284 4511%
Multiplan $261 - $284 5426%
Ppo Next $284 5904%
Novanet $301 6258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals