CMS Price Transparency Data

Blood test, sodium

Facility: HCA Florida Poinciana Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $678
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Florida Poinciana Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $678. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$678

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: $678 (14096%)
Insurance Median: $8 (166%)
Cash: $678 (14096% 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
Humana $4 - $190 83%
Aetna $5 - $203 104%
Align Senior Care $5 104%
American Health Plan $5 104%
Avmed $5 - $339 104%
Blue Cross Blue Shield $5 104%
Careplus $5 104%
Centurion $5 104%
Cigna $5 104%
Clear Spring Health $5 104%
Devoted Health $5 104%
Fl Health Care Plan $5 104%
Florida Complete Care $5 104%
Gold Kidney Of Florida $5 104%
Ndms Definitive Care $5 104%
Sunshine State $5 104%
United $5 - $305 104%
Wellcare $5 104%
Wellmed $5 104%
Longevity Health Plan $6 125%
Ultimate Health Plan $6 125%
Oscar $7 146%
Solis Health Plan $7 146%
Simply Healthcare $8 166%
Corvel Corporation $46 956%
Prime Health $47 977%
Careworks (Rockport Community) $49 1019%
Freedom Health $49 1019%
Optimum $49 1019%
Simply $104 2162%
Molina Healthcare $129 - $183 2682%
Evolutions $156 3243%
Sunshine State Health Plan $173 3597%
Plotkin Health $339 7048%
Prime Health Sheriff $339 7048%
Multiplan $508 - $576 10561%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals