CMS Price Transparency Data

Blood test, sodium

Facility: T J Samson Community Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at T J Samson Community Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $30 (624%)
Insurance Median: $5 (104%)
Cash: $30 (624% of Medicare)
Ins. Median: $5 (104% 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.

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
Caresource - All Plans $2 42%
Blue Cross Blue Shield $4 - $39 83%
Devoted Mcr Adv - All Plans $5 104%
Humana $5 - $46 104%
Molina Mcr Adv $5 104%
Signature Health - All Plans $5 104%
Wellcare Mcaid $5 104%
Wellcare Mcr Adv - All Other Plans $5 104%
Molina Marketplace - All Other Plans $7 146%
UnitedHealthcare $23 478%
Center Care Select - All Plans $39 811%
Phcs/Multiplan - All Plans $43 894%
First Health - All Plans $44 915%
Aetna $46 956%
Molina Mcaid $47 977%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 North Race Street, Glasgow, KY 42141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals