CMS Price Transparency Data

Blood test, sodium

Facility: Lutheran Hospital of Indiana

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $4
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Lutheran Hospital of Indiana is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $2 (42%)
Insurance Median: $4 (83%)
Cash: $2 (42% of Medicare)
Ins. Median: $4 (83% 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
Amish Aid $1 - $36 21%
Cigna $1 - $43 21%
Ky Work Comp $1 - $30 21%
Lutheran Preferred Network $1 - $71 21%
Self Pay $1 - $43 21%
Aetna $2 - $57 42%
Blue Cross Blue Shield $2 - $44 42%
Encore Ppo $2 - $58 42%
Lutheran Network $2 - $60 42%
Lutheran Preferred $2 - $48 42%
Physicians Health Plan Of Northern Indiana $2 - $47 42%
Sagamore $2 - $64 42%
UnitedHealthcare $2 - $59 42%
Multiplan $3 - $99 62%
Prime Health Services $3 - $89 62%
Tricare $3 - $4 62%
Advantage Health Solutions $4 - $99 83%
Allied Benefit Systems $4 - $107 83%
Department Of Veterans Affairs $4 - $5 83%
Encore Health Network $4 - $107 83%
Evolutions $4 - $107 83%
Humana $4 - $5 83%
In Dept Of Correction $4 - $5 83%
Iu Health Plan $4 - $5 83%
Managed Health Services $4 - $10 83%
Medicare (plans) $4 - $5 83%
Node Devoted Health Mcr Adv $4 - $5 83%
Node Hospice Non Par Agree $4 - $5 83%
Node Va $4 - $5 83%
Php Freedom Network $4 - $9 83%
Veterans Eval Services $4 - $5 83%
Care Source $5 104%
Medicaid / KanCare $5 104%
Node Pphp Mcr Adv $5 104%
Us Department Of Labor $5 - $6 104%
Lutheran Advanced Network $6 - $7 125%
Node Lutheran Network $6 - $8 125%
Node Lutheran Preferred Fixed 2 $6 - $7 125%
Align Network $7 - $8 146%
Encore Work Comp In $8 - $9 166%
Node Encore Kba Epo $10 - $12 208%
Node Encore Kba Ppo $13 - $14 270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals