Blood test, sodium
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $33
- Cash Discount Price: $41
- vs. Medicare Baseline: 6.86x 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 686% of the Medicare baseline (a markup of 586%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $11 | 229% |
| UnitedHealthcare | $13 - $46 | 270% |
| Berkley Net-All Plans | $18 | 374% |
| Trustmark Health Benefits-All Plans | $20 | 416% |
| Aetna | $20 - $31 | 416% |
| Meritain Health-All Plans | $21 | 437% |
| Ambetter / Centene | $22 | 457% |
| Axa Equitable - All Plans | $25 | 520% |
| Pinnacol-All Plans | $26 | 541% |
| Medi-Share-All Plans | $26 | 541% |
| Presbyterian-All Plans | $28 | 582% |
| Kasb Work Comp - All Plans | $29 | 603% |
| The Kempton Group Admin-All Plans | $32 | 665% |
| Auxiant - All Plans | $32 | 665% |
| Gpha(Wppa)-All Other Plans | $32 | 665% |
| Emc-All Plans | $33 | 686% |
| Sisco-All Plans | $33 | 686% |
| Providers Care Network- All Plans | $33 | 686% |
| Wppa- All Plans | $33 | 686% |
| Employee Benefit-All Plans | $34 | 707% |
| Gpha Employee Benefit Plan | $34 | 707% |
| Regional Care(Wppa)-All Plans | $34 | 707% |
| Triangle-All Plans | $35 | 728% |
| First Health -All Plans | $35 | 728% |
| One Call Physician-All Plans | $35 | 728% |
| Blue Cross Blue Shield | $36 | 748% |
| Tricare | $37 | 769% |
| Christian Hospital Aid - All Plans | $37 | 769% |
| Cigna | $40 | 832% |
| Humana | $40 | 832% |
| Luminare Health- All Plans | $40 | 832% |
| Coresource-All Plans | $41 | 852% |
| Deseret Mutual(Uhis)-All Plans | $41 | 852% |
| Vaccn-All Plans | $42 | 873% |
| Reserve National-All Plans | $44 | 915% |
| Hma Llc-All Plans | $44 | 915% |
| Wps Vapc-All Plans | $44 | 915% |
| Medicaid / KanCare | $46 | 956% |
Consumer Guidance & Cost Commentary
For this blood test for sodium (CPT 84295) at Satanta District Hospital, the cash price is $41.00, which is slightly lower than the facility's negotiated rate of $33.00 paid by most insurance plans. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific county or state average benchmarks for this procedure, so a direct comparison to regional pricing is not possible with the current information. However, it is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients with high-deductible plans or those without insurance may find paying the cash price of $41.00 more affordable than the insurance negotiated rate of $33.00, provided they can secure the cash discount directly from the hospital.
To minimize costs, patients 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. Since the facility is a government-owned hospital district, they may offer unique financial assistance options not available to private insurers. Additionally, because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement before paying to ensure no duplicate charges or unbundled codes are included. If a balance bill arises from an out-of-network ancillary service, the No Surprises Act may protect the patient from paying the difference, so disputing unexpected charges with the insurer is a critical first step.