Blood test, sodium
Facility: Hodgeman County Health Center
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $35
- Cash Discount Price: $39
- vs. Medicare Baseline: 7.28x 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 728% of the Medicare baseline (a markup of 628%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $10 | 208% |
| Humana | $31 | 644% |
| Medicaid / KanCare | $31 - $49 | 644% |
| Triwest - All Plans | $31 | 644% |
| UnitedHealthcare | $31 - $47 | 644% |
| Aetna | $39 | 811% |
| First Health - All Plans | $44 | 915% |
| Wppa (Provdrscare) - All Plans | $47 | 977% |
| Health Partners - All Plans | $47 | 977% |
Consumer Guidance & Cost Commentary
For the sodium blood test (CPT 84295) at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median price is $39.00, which is higher than the state average of $37.00. While commercial insurance plans like Blue Cross Blue Shield and Humana negotiate rates ranging from $10 to $49, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $39.00 rate is lower than the typical negotiated ceiling for many in-network carriers. It is important to verify the specific allowed amount for your plan before scheduling, as some in-network facilities charge significantly more than others for the same service.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. Since the facility is a government-owned Critical Access Hospital, these discounts may be available to bypass the higher administrative costs associated with insurance billing cycles. Additionally, because Medicare sets a benchmark of $4.81 for this procedure, commercial rates are substantially higher; comparing your specific plan's allowed amount to the Medicare rate rather than the hospital's full chargemaster list provides a clearer picture of fair pricing. If you receive a bill, always request a detailed itemized statement to ensure no errors or unbundled charges are included before making a payment.