Blood test, sodium
Facility: Wichita County Health Center
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $27
- Cash Discount Price: $24
- vs. Medicare Baseline: 5.61x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 561% of the Medicare baseline (a markup of 461%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $25 | 520% |
| UnitedHealthcare | $30 | 624% |
Consumer Guidance & Cost Commentary
For this blood test for sodium at Wichita County Health Center in Leoti, KS, the facility's cash price of $24.00 is lower than the state average, which sits at $25.00. While the facility's negotiated rate with UnitedHealthcare is $30.00, patients should note that paying cash upfront can sometimes be more cost-effective than using insurance, especially if your plan has a high deductible or if the negotiated rate exceeds the cash price. The facility, a government-owned Critical Access Hospital, offers a prompt-pay discount for those who settle their bill immediately, which can further reduce the final amount owed.
When comparing this service to Medicare, the facility's cash rate is 5.6% higher than the Medicare benchmark of $4.81, reflecting the standard administrative and operational costs of commercial care. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly even within the same facility. If you receive a bill after using insurance, request a full itemized statement to ensure no errors exist, and ask the billing department about any additional self-pay or prompt-pay discounts available before check-in to avoid unexpected charges.