CMS Price Transparency Data

Blood test, sodium

Facility: St Francis Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $106
Cash Discount Price: $95
vs. Medicare Baseline: 22.04x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at St Francis Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 22.04x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $95 (1975%)

Insurance Median: $106 (2204%)

Cash: $95 (1975% of Medicare)

Ins. Median: $106 (2204% 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 2204% of the Medicare baseline (a markup of 2104%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Wexford	$5	104%
Meridian Health Plan	$6	125%
Molina Healthcare	$6 - $29	125%
Clear Spring Health of Illinois	$28	582%
Humana	$28	582%
Blue Cross Blue Shield	$28 - $30	582%
UnitedHealthcare	$29 - $132	603%
Aetna	$29 - $93	603%
Amish Community	$37	769%
Celtic Insurance Company	$67	1393%
Claim Doc	$69	1435%
Hopetrust	$76	1580%
Wellfirst	$85	1767%
First Health	$98	2037%
Caterpillar, Inc.	$106	2204%
Cigna	$106	2204%
Current Health Solutions	$111	2308%
Multiplan/Phcs	$112	2328%
Consociate Group	$112	2328%
Healthlink	$113	2349%
Provider Network of America	$119	2474%
Healthcare Finest Network (Hfn)	$119	2474%
Live360	$132	2744%
Health Alliance Medical Plans	$132	2744%
Illinois Breast and Cervical Cancer Program	$132	2744%
Naphcare	$132	2744%
Healthscope	$132	2744%
Interplan	$132	2744%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $95.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.