Blood test, sodium
Facility: Cheyenne County Hospital
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $15
- Cash Discount Price: $15
- vs. Medicare Baseline: 3.12x 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 312% of the Medicare baseline (a markup of 212%). 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 |
|---|---|---|
| UnitedHealthcare | $7 - $15 | 146% |
| Blue Cross Blue Shield | $10 | 208% |
| Healthy Blue Mcr Adv | $11 | 229% |
| First Health - All Plans | $11 | 229% |
| Tricare | $11 | 229% |
| Aetna | $11 - $15 | 229% |
| Choice Care - All Plans | $11 | 229% |
| Firstguard - All Plans | $12 | 249% |
| Wppa - All Plans | $14 | 291% |
| Healthy Blue Mcaid - All Other Plans | $15 | 312% |
| Healthwave Mcaid - All Plans | $15 | 312% |
| Ppo Next - All Plans | $15 | 312% |
| Preferred Hc - All Plans | $15 | 312% |
| Cpm - All Plans | $15 | 312% |
| Unicare - All Plans | $15 | 312% |
| Childrens Mercy - All Plans | $15 | 312% |
| Midlands Choice - All Plans | $15 | 312% |
| Health Partners - All Plans | $15 | 312% |
| Integrated Hp - All Plans | $15 | 312% |
| Providers Care-All Plans | $23 | 478% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Cheyenne County Hospital, the cash price is $15.00, which matches the facility's negotiated rate and the state average. While the facility's cash price is higher than the Medicare benchmark of $4.81, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds the cash price. It is important to note that commercial rates often include administrative overhead and do not reflect the true cost of care; comparing these rates to the Medicare benchmark reveals the markup rather than the actual service cost.
Patients should verify their specific plan details before scheduling, as some in-network contracts may result in higher out-of-pocket costs than paying cash directly. If you are self-paying, ask the hospital about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, you may be entitled to protections under the No Surprises Act, which prevents balance billing for emergency and non-emergency services. Always request a detailed, itemized bill to ensure no errors exist before agreeing to any payment plan.