Blood test, sodium
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $5
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Smarthealth | $1 - $7 | 21% |
| Va | $5 | 104% |
| Blue Cross Blue Shield | $5 | 104% |
| Via Christi Research | $5 | 104% |
| Humana | $5 | 104% |
| Saint Lukes Health Systems | $5 | 104% |
| Vc Hope | $5 | 104% |
| Medicare (plans) | $5 | 104% |
| UnitedHealthcare | $5 - $13 | 104% |
| Corizon | $6 | 125% |
| Medicaid / KanCare | $8 | 166% |
| Aetna | $15 | 312% |
| Coventry City Of Wichita | $19 | 395% |
Consumer Guidance & Cost Commentary
For CPT code 84295, a blood test for sodium, the facility's negotiated rates range from $1.00 to $5.00 across 13 payers, with a median negotiated amount of $5.00. This price is consistent with the Medicare benchmark of $4.81, indicating that the facility's commercial rates align closely with the federal cost baseline rather than inflating charges significantly above the true cost of care. While the facility is a voluntary non-profit church-owned hospital in Wichita, KS, the data does not provide specific cash or self-pay rates, so patients should directly contact the billing department to inquire about potential prompt-pay discounts or self-pay reductions that could lower the final cost.
It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures, meaning patients with high-deductible plans might save money by paying out-of-pocket if the cash rate is available. Since the facility is an in-network provider for most major payers listed, the No Surprises Act generally protects patients from balance billing for emergency or non-emergency services, though patients should still request an itemized bill to verify that no unbundled codes or services not rendered have been charged. If a summary bill is received, patients should demand a detailed CPT-coded statement to identify any errors before agreeing to payment.