CMS Price Transparency Data

Blood test, sodium

Facility: HCA Florida Jfk Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $19
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 3.95x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Florida Jfk Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 3.95x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $178 (3701%)
Insurance Median: $19 (395%)
Cash: $178 (3701% of Medicare)
Ins. Median: $19 (395% 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 395% of the Medicare baseline (a markup of 295%). 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
Aetna $5 - $53 104%
Align $5 104%
American Health Plan $5 104%
Blue Cross Blue Shield $5 104%
Careplus Sfl $5 104%
Centurion $5 104%
Cigna $5 104%
Devoted Health $5 104%
Doctors Healthcare Plan $5 104%
Florida Complete Care $5 104%
Gold Kidney $5 104%
Humana $5 - $61 104%
Ndms Definitive Care $5 104%
Oscar $5 - $7 104%
Palm Beach Pace $5 104%
Prominence Healthfirst $5 104%
Sunshine State $5 104%
United $5 - $80 104%
United Behavioral Health $5 104%
Veterans Evaluation Services $5 104%
Wellmed $5 104%
Amerihealth Caritas $6 - $7 125%
Longevity Health Plan $6 125%
Simply Healthcare $6 125%
Solis Health Plan $7 146%
Freedom Health $15 - $28 312%
Optimum $15 312%
Avmed $23 - $89 478%
Simply Healthcare Plans $23 478%
Molina $30 - $48 624%
Health Sun Health Plan $38 790%
Aids Healthcare $39 - $214 811%
Mmm Of Fl (Health Advantage Plan) $41 852%
United Ppo $42 873%
Sunshine State Health Plan $46 956%
Corvel Corporation $48 998%
Careworks (Rockport) $49 1019%
Prime Health $49 1019%
Blis $62 1289%
District Cares $89 1850%
Plotkin Health $89 1850%
Prime Health Sherriff $89 1850%
Medica Healthcare $105 2183%
Multiplan $134 - $151 2786%
Evernorth Bh $142 2952%
Healthy Palm Beaches $550 11435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals