Blood test, sodium
Facility: Labette Health
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $5
- Cash Discount Price: $35
- vs. Medicare Baseline: 1.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Uhccp | $4 | 83% |
| Medicaid / KanCare | $4 - $5 | 83% |
| Montgomery County | $4 - $29 | 83% |
| Healthy Blue | $4 | 83% |
| Humana | $5 | 104% |
| Wellcare | $5 | 104% |
| Blue Cross Blue Shield | $5 - $10 | 104% |
| UnitedHealthcare | $5 - $75 | 104% |
| Ambetter / Centene | $6 | 125% |
| Multiplan | $74 | 1538% |
| Choicecare (First Health Network) | $78 | 1622% |
| Health Partners Of Kansas, Inc | $78 | 1622% |
Consumer Guidance & Cost Commentary
For Labette Health's sodium blood test (CPT 84295), the facility's cash price of $35.00 is significantly lower than the Medicare benchmark of $4.81, indicating a substantial markup relative to the federal cost baseline. While the facility is a government-owned acute care hospital in Parsons, KS, patients should note that commercial negotiated rates vary widely among the 12 payers listed, ranging from $4.00 with Uhccp to $78.00 with Multiplan and Choicecare. Because insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, and because some in-network rates can exceed the cash price, patients with high-deductible plans may find paying the $35.00 cash rate directly more cost-effective than relying on an insurance allowed amount that could be higher.
To maximize savings, consumers should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full upfront. It is also critical to request an itemized billing audit before settling any invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected. Finally, while the No Surprises Act protects against balance billing for emergency care and non-emergency services at in-network facilities, patients should verify their specific plan's deductible status and network tiering to ensure they are not inadvertently paying the full negotiated rate or facing unexpected out-of-network charges for ancillary services.