Blood test, sodium
Facility: Kingman Healthcare Center
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $4
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Healthy Blue | $4 | 83% |
| Medicaid / KanCare | $4 | 83% |
| Triwest | $5 | 104% |
Consumer Guidance & Cost Commentary
For the blood test for sodium (CPT 84295) at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rates average $4.00, which is lower than the Medicare benchmark of $4.81. This suggests the facility is pricing below the federal government's cost-based standard for this service. While the data does not provide specific cash or median paid amounts, patients with high-deductible plans should be aware that paying cash directly could sometimes result in a lower total cost if the insurance negotiated rate exceeds the cash price. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
Because this service is covered by three payers including Healthy Blue, Medicaid/KanCare, and Triwest, patients should verify their specific plan details before scheduling. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is crucial to request a full itemized bill before paying to ensure no errors or unbundled charges are included. If a patient receives a summary bill, they should demand a detailed line-by-line statement to identify any services not rendered or codes that were incorrectly split. Finally, patients should check their deductible status before using insurance, as paying out-of-pocket may be more cost-effective if the negotiated rate is high and the deductible has not yet been met.