CMS Price Transparency Data

Blood test, sodium

Facility: Hancock Regional Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $60
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 12.47x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Hancock Regional Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 12.47x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $58 (1206%)
Insurance Median: $60 (1247%)
Cash: $58 (1206% of Medicare)
Ins. Median: $60 (1247% 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 1247% of the Medicare baseline (a markup of 1147%). 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
Allwell Mcr Adv - All Plans $5 104%
Beech Street Mcr Adv $5 104%
Blue Cross Blue Shield $5 - $56 104%
Caresource Mcr Adv $5 104%
Communicare Mcr Adv - All Plans $5 104%
Humana $5 - $71 104%
Iu Health Mcr Adv $5 104%
Mhs/Mdwise Mcaid-All Plans $5 104%
Triwest - All Plans $5 104%
UnitedHealthcare $5 - $58 104%
Va Ccn - All Plans $5 104%
Ambetter / Centene $10 208%
Caresource Comm - All Other Plans $12 249%
Iu Health-All Other Plans $13 270%
Ascension - All Plans $53 - $56 1102%
Aetna $54 - $75 1123%
Cigna $57 - $60 1185%
Encore Encircle $57 - $60 1185%
Hancock Phys Network-All Plans $57 - $60 1185%
Unified Group Services- All Plans $57 - $60 1185%
Advantage Self Funded Ppo-All Other Plans $58 - $62 1206%
Healthmark/Healthchoice-All Plans $58 - $62 1206%
Sagamore-All Plans $58 - $62 1206%
Encore-All Other Plans $60 - $64 1247%
Consumers Life-All Plans $62 - $66 1289%
St Vincent Cmo-All Plans $62 - $66 1289%
Siho-All Plans $64 - $68 1331%
Great West-All Plans $65 - $69 1351%
Savility - All Plans $65 - $69 1351%
Cofinity/Ppom - All Plans $66 - $70 1372%
First Health/Coventry-All Plans $67 - $70 1393%
Golden Rule Ins-All Plans $67 - $71 1393%
Indiana Health Network-All Plans $67 - $71 1393%
Mail Handlers-All Plans $67 - $70 1393%
Phcs-All Plans $67 - $71 1393%
Beech Street Ppo - All Other Plans $68 - $72 1414%
Comm Hlth Alliance - All Plans $69 - $73 1435%
Multiplan-All Plans $70 - $74 1455%
Advantage Preferred Plus $71 - $75 1476%
Healthy Indiana Plan-All Plans $71 - $75 1476%
Copps - All Plans $146 - $154 3035%
Pro Health - All Plans $213 - $225 4428%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals