Blood test, sodium
Facility: Greeley County Health Services
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $4
- Cash Discount Price: $25
- vs. Medicare Baseline: 0.83x 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 |
|---|---|---|
| Medicaid / KanCare | $4 | 83% |
| Aetna | $4 | 83% |
Consumer Guidance & Cost Commentary
For this blood test for sodium at Greeley County Health Services in Tribune, KS, the cash price of $25.00 is lower than the Medicare benchmark of $4.81, which serves as the federal baseline for fair pricing. While the facility's negotiated rate with Aetna is $4.00 and the Medicaid rate is also $4.00, these figures represent the maximum amounts insurers agree to pay under contract, not the final amount you will owe. Patients with high-deductible plans may find paying the $25.00 cash price more advantageous if their insurance allows a negotiated rate that exceeds this amount, as the administrative costs of processing claims often inflate the effective price for the patient. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significant out-of-pocket costs.
To ensure you receive the best possible price, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. Although the data does not provide a specific county or state average for this procedure, comparing the facility's cash rate to the Medicare benchmark reveals that the chargemaster list is significantly inflated, a common practice where hospitals list high prices to make discounts appear larger than they are. If you receive an itemized bill, request a full line-by-line statement to check for errors or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected. Always confirm that your insurance is submitting the claim correctly, as automatic billing systems may void any cash discounts you negotiated prior to your visit.