CMS Price Transparency Data

Blood test, sodium

Facility: Bob Wilson Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $36
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 7.48x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Bob Wilson Memorial Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 7.48x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)
Cash / Self-Pay: $17 (353%)
Insurance Median: $36 (748%)
Cash: $17 (353% of Medicare)
Ins. Median: $36 (748% of 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 748% of the Medicare baseline (a markup of 648%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centura Employee Plan $6 125%
UnitedHealthcare $14 - $36 291%
Blue Cross Blue Shield $14 291%
Medicare (plans) $14 291%
Aetna $14 - $35 291%
Humana $14 291%
Kansas Health $14 291%
Multiplan $39 - $40 811%
Wppa $41 852%
Health Partners Of Kansas $41 852%

Consumer Guidance & Cost Commentary

For this blood test procedure at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median rate is $17.00, which is significantly lower than the negotiated rates paid by major insurers like UnitedHealthcare ($14–$36), Aetna ($14–$35), and Multiplan ($39–$40). While commercial insurance contracts often result in higher allowed amounts due to administrative overhead and network tiering, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds $17.00. It is important to note that while the facility is a Critical Access Hospital owned by a voluntary non-profit church, the data does not provide a specific state or county average for comparison; however, the cash rate remains a strong baseline for self-pay patients to consider before scheduling.

The Medicare benchmark for this service is $4.81, which serves as a critical reference point to understand the facility's pricing structure. The cash rate of $17.00 represents a markup over the Medicare amount, whereas the median negotiated rate of $36.00 reflects the contractual agreements with commercial payers. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, but unexpected charges can still occur if ancillary services are out-of-network. To minimize costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can offer further reductions for upfront payment, and always request a detailed, itemized bill to verify that no unbundled codes or services not rendered have been included.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals