CMS Price Transparency Data

Blood test, sodium

Facility: The Women's Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at The Women's Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $87 (1809%)
Insurance Median: $5 (104%)
Cash: $87 (1809% of Medicare)
Ins. Median: $5 (104% 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 $2 - $10 42%
Blue Cross Blue Shield $2 - $14 42%
UnitedHealthcare $3 - $118 62%
Aetna $5 - $34 104%
Alliance Coal $5 - $102 104%
Caresource $5 104%
Caresource Hip $5 104%
Caresource In $5 104%
Chamber Care $5 - $17 104%
Humana $5 104%
Iu Health $5 - $74 104%
Mdwise Hip $5 104%
Meridian Health Il $5 - $14 104%
Mhs $5 104%
Mhs Behavioral $5 104%
Molina Il $5 - $14 104%
Molina Ky $5 104%
Molina Ky Dual $5 104%
Passport Molina Ky $5 - $34 104%
Patoka Valley Health Care (80/20 Plan) $5 104%
Patoka Valley Health Care (90/10 Plan) $5 104%
Wellcare Ky $5 - $34 104%
Ambetter / Centene $6 - $7 125%
Caresource Marketplace (Just4Me) $6 - $7 125%
Hst $6 - $7 125%
One Care $6 - $103 125%
Allied National/Zelis - Freedom Plan $7 - $12 146%
Claimdoc $7 146%
Encorecombined $7 - $103 146%
Encoreprime $7 - $100 146%
Cigna $8 - $106 166%
Claritev (Formerly Phcs/Mulitplan) $8 - $102 166%
First Health/Coventry $8 - $109 166%
Healthlink $8 - $125 166%
Hope Trust $8 166%
Noncontracted $8 166%
Sagamore $8 - $106 166%
Self Pay $10 - $87 208%
Center Care $17 - $115 353%
Immergrun $62 1289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals