CMS Price Transparency Data

Blood test, sodium

Facility: Oviedo Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Oviedo Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $85 (1767%)
Insurance Median: $6 (125%)
Cash: $85 (1767% of Medicare)
Ins. Median: $6 (125% 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 - $19 83%
Aetna $5 - $25 104%
Align Senior Care $5 104%
American Health Plan $5 104%
Avmed $5 - $42 104%
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 - $38 104%
Wellcare $5 104%
Wellmed $5 104%
Freedom Health $6 125%
Longevity Health Plan $6 125%
Optimum $6 125%
Ultimate Health Plan $6 125%
Oscar $7 146%
Solis Health Plan $7 146%
Simply Healthcare $8 166%
Simply $13 270%
Molina Healthcare $16 333%
Evolutions $19 395%
Sunshine State Health Plan $22 457%
Florida Health Care Plan $32 665%
Prime Health $47 977%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals