CMS Price Transparency Data

Blood test, sodium

Facility: Northern Louisiana Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $154
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 32.02x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Northern Louisiana Medical Center is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 32.02x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$154

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: $121 (2516%)
Insurance Median: $154 (3202%)
Cash: $121 (2516% of Medicare)
Ins. Median: $154 (3202% 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 3202% of the Medicare baseline (a markup of 3102%). 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
Champus $4 83%
Champva $4 83%
Golden Rule Ins $4 - $133 83%
Tricare $4 - $5 83%
UnitedHealthcare $4 - $133 83%
Aetna $5 - $132 104%
Blue Cross Blue Shield $5 - $32 104%
Gulf South Services $5 104%
Humana $5 - $35 104%
Medicaid / KanCare $5 - $220 104%
Medicare (plans) $5 104%
Mutual Of Omaha $5 104%
Va $5 104%
Vantage Advantage $5 104%
Veterans Evaluation Svcs $5 104%
Vantage Health Plan Ppaca $9 187%
First Health $10 - $187 208%
Vantage Health Plan $10 208%
Verity Healthnet $108 2245%
Cigna $110 2287%
Kaiser Permanente $110 2287%
Gilsbar $121 2516%
Self Pay $121 2516%
Geha $176 - $209 3659%
Multiplan $187 3888%
Phcs $187 3888%
Work Comp City Of Ruston $198 4116%
Work Comp First Health $198 4116%
Work Comp Nlmc Emp $198 4116%
Workers Compensation $198 4116%
Aarp $220 4574%
Aflc American Family Life $220 4574%
American Life Accident $220 4574%
Apwu Health Plan $220 4574%
Bankers Life And Casualty $220 4574%
Benefit Trust Life $220 4574%
Crime Victims Compensatio $220 4574%
Equitable $220 4574%
Fox Everett Inc $220 4574%
Gmp Employers Retiree Tru $220 4574%
Gsu Athletics $220 4574%
Guarantee Trust Life Ins $220 4574%
Healthfirst Tpa $220 4574%
Hospice Of Caring Hearts $220 4574%
Ima Insurance $220 4574%
Industrial Accounts $220 4574%
Liberty Healthshare $220 4574%
Liberty Mutual Group $220 4574%
Lifecare Specialty Hosp $220 4574%
Lin Parish Detention $220 4574%
Lincoln Kidney Center $220 4574%
Ltu Athletics $220 4574%
Ltu Student Ins Bollinger $220 4574%
Mcr American Hlth Adv $220 4574%
Misc Commercial $220 4574%
Mva Insurance Payors $220 4574%
Nalc Health Benefit Plan $220 4574%
Nalc Natl Assoc Ltr Carri $220 4574%
Newera $220 4574%
Nlmc Community Services $220 4574%
Physicians Mutual Ins $220 4574%
Premier Hospice $220 4574%
Principal Mutual Life Ins $220 4574%
Protective Life Ins $220 4574%
Ruston Regional Specialty $220 4574%
Specialty Hosp Of Winnfie $220 4574%
State Farm Insurance $220 4574%
State Mutual Ins $220 4574%
Sterling Investors Life $220 4574%
The Hartford $220 4574%
Union Bankers Insurance C $220 4574%
Union Fidelity Life Ins $220 4574%
United American $220 4574%
United Teachers Ins $220 4574%
Us Dept Of Labor $220 4574%
Washington National Ins $220 4574%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals