Blood test, sodium
Facility: Kansas Heart Hospital
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $5
- Cash Discount Price: $11
- 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 |
|---|---|---|
| Tricare | $4 | 83% |
| Celtic Mcr Adv | $5 | 104% |
| Humana | $5 | 104% |
| Medicaid / KanCare | $5 | 104% |
| UnitedHealthcare | $5 | 104% |
| Wppa - All Plans | $7 | 146% |
| Blue Cross Blue Shield | $7 | 146% |
| Multiplan - All Plans | $15 | 312% |
Consumer Guidance & Cost Commentary
For this blood test for sodium at Kansas Heart Hospital in Wichita, KS, the facility's cash price of $11.00 is notably higher than the Medicare benchmark of $4.81, which serves as the objective baseline for healthcare costs. While the facility's negotiated rate of $5.00 is lower than the gross charge, it remains above the Medicare rate, illustrating that commercial contracts often exceed the true cost of care. Patients with high-deductible plans should consider paying the cash price directly, as this amount is lower than the negotiated rate insurers typically pay, potentially saving money if their out-of-pocket costs are already high. It is also important to verify if the hospital offers "self-pay" or "prompt-pay" discounts, as paying upfront can sometimes reduce the final bill further.
This service is billed under CPT code 84295 and is covered by eight different payers, including Tricare, Medicaid/KanCare, and UnitedHealthcare. The data reflects the 2026-06 vintage, and while specific county or state average comparisons were not provided in the source data, the facility's pricing structure highlights the importance of comparing rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. To ensure you are not overcharged, we recommend requesting a full itemized bill to review every line item and checking your deductible status before scheduling, as paying the negotiated rate without meeting your deductible could result in higher out-of-pocket expenses than paying cash.