CMS Price Transparency Data

Blood test, sodium

Facility: Abrom Kaplan Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $10
Cash Discount Price: $12
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Abrom Kaplan Memorial Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 1310 West Seventh Street, Kaplan, LA.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $12 (249%)

Insurance Median: $10 (208%)

Cash: $12 (249% of Medicare)

Ins. Median: $10 (208% 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 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$5 - $25	104%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$5	104%
Healthy Blue (Healthy Louisiana)	$5	104%
Humana	$5 - $18	104%
Louisiana Healthcare Connections (Healthy Louisiana)	$5	104%
UnitedHealthcare	$5 - $18	104%
Verity Commercial And First Choice Network	$5 - $14	104%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$7 - $19	146%
Blue Cross Blue Shield	$7 - $18	146%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$7 - $18	146%
Medicare (plans)	$7 - $18	146%
Ochsner Health Plan	$7 - $18	146%
Wellcare Of Louisiana	$7 - $18	146%
Tricare	$8 - $21	166%
Cigna	$10 - $28	208%
Zelis	$10 - $28	208%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $12.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Abrom Kaplan Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.