CMS Price Transparency Data

Blood test, sodium

Facility: Highland District Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Highland District Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 1275 North High Street, Hillsboro, OH.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $38 (790%)
Insurance Median: $8 (166%)
Cash: $38 (790% of Medicare)
Ins. Median: $8 (166% 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
Aetna $5 - $39 104%
Blue Cross Blue Shield $5 - $36 104%
Humana $5 - $43 104%
Medicare (plans) $5 104%
Medigold $5 104%
UnitedHealthcare $5 104%
Highland_County_Sheriff_Dept $7 146%
Medicaid / KanCare $7 - $8 146%
Medben $12 249%
Immergrun_Amish $38 790%
Central_Benefits_Commercial $43 894%
Cigna $43 894%
Medical_Mutual_Commercial $44 915%
Uhc_ $44 915%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1275 North High Street, Hillsboro, OH 45133
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals