Blood test, sodium
Facility: Greenwood County Hospital
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $41
- Cash Discount Price: $38
- vs. Medicare Baseline: 8.52x 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 852% of the Medicare baseline (a markup of 752%). 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 | $2 - $40 | 42% |
| Blue Cross Blue Shield | $10 | 208% |
| Triwest - All Plans | $17 | 353% |
| Choicecare Mcr Adv - All Plans | $20 | 416% |
| Tricare | $20 | 416% |
| Integrated Health Plan - All Plans | $36 | 748% |
| First Health Ccn Network | $41 | 852% |
| Beech Street - All Plans | $41 | 852% |
| First Health - All Other Plans | $41 | 852% |
| Preferred Hs (Coventry) - All Plans | $43 | 894% |
| Principal Health Care Inc - All Plans | $46 | 956% |
| Medicaid / KanCare | $48 | 998% |
| Amerigroup Mcaid-All Plans | $48 | 998% |
| Providrs Care/Wppa - All Plans | $72 | 1497% |
Consumer Guidance & Cost Commentary
For the blood test, sodium procedure (CPT 84295) at Greenwood County Hospital in Eureka, Kansas, the facility's cash median rate of $38.00 is lower than the state average of $48.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, the median negotiated rate across payers is $41.00, which is higher than the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. However, patients must verify their specific plan's allowed amount before scheduling, as some insurers may have different caps or deductibles that affect out-of-pocket costs.
To avoid unexpected charges, consumers should request a prompt-pay discount if paying cash upfront, as hospitals often offer reductions of 20% to 50% for immediate payment to bypass costly claims processing. Additionally, if you receive a bill from an out-of-network provider or a service not covered by your plan, you may be subject to balance billing, where the provider charges the difference between their full list price and what your insurance pays. Under the No Surprises Act, balance billing for emergency care and non-emergency services at in-network facilities is banned, so patients should dispute any surprise bills immediately rather than paying them out of fear of credit damage. Finally, always demand a full itemized bill before agreeing to pay, as summary invoices can hide unbundled codes or services not rendered, and formal written disputes are necessary to resolve billing errors effectively.