CMS Price Transparency Data

Blood test, sodium

Facility: HCA Florida Lake City Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $24
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 4.99x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Florida Lake City Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 4.99x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $202 (4200%)
Insurance Median: $24 (499%)
Cash: $202 (4200% of Medicare)
Ins. Median: $24 (499% 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 499% of the Medicare baseline (a markup of 399%). 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
Hospice Of North Central Fl $4 83%
Humana $4 - $40 83%
Aetna $5 - $61 104%
Align Senior Care $5 104%
American Health Plan $5 104%
Blue Cross Blue Shield $5 104%
Centurion $5 104%
Cigna $5 104%
Clear Spring Health $5 104%
Florida Complete Care $5 104%
Gold Kidney Of Florida $5 104%
Ndms Definitive Care $5 104%
Sunshine State $5 104%
United $5 - $91 104%
Wellcare $5 104%
Wellmed $5 104%
Longevity Health Plan $6 125%
Oscar $6 125%
Simply Healthcare $6 125%
Ultimate Health Plan $6 125%
Avmed $24 - $101 499%
Simply $31 644%
Corvel Corporation $43 894%
Prime Health $44 915%
Careworks (Rockport Community) $46 956%
Evolutions $47 - $172 977%
Sunshine State Health Plan $52 1081%
Molina Healthcare $65 1351%
Plotkin Health $101 2100%
Prime Health Sheriff $101 2100%
Hamilton County Jail $109 2266%
Multiplan $158 - $172 3285%
Ppo Next $172 3576%
Novanet $182 3784%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals