CMS Price Transparency Data

Blood test, sodium

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $38
Cash Discount Price: $12,283
vs. Medicare Baseline: 7.90x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Oklahoma Heart Hospital South, LLC is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,283. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 7.90x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$12,283

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $12,283 (255364%)

Insurance Median: $38 (790%)

Cash: $12,283 (255364% of Medicare)

Ins. Median: $38 (790% 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 790% of the Medicare baseline (a markup of 690%). 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	$4 - $25,139	83%
Humana	$4 - $25,139	83%
Blue Cross Blue Shield	$5 - $51,514	104%
Cigna	$5 - $25,139	104%
Geha	$5 - $26,704	104%
Medicare (plans)	$5 - $25,893	104%
UnitedHealthcare	$5 - $26,704	104%
Va Ccn	$5 - $25,139	104%
Ambetter / Centene	$7 - $35,194	146%
Community Care	$10 - $50,277	208%
The Kempton Group	$12 - $62,847	249%
Healthcare Highways	$14 - $35	291%
Healthscope	$27	561%
Oscar Insurance Company	$27	561%
Webtpa Chickasaw Nation Hch	$27	561%
Webtpa Hobby Lobby Hch	$31	644%
Coventry	$34 - $31,086	707%
Global Health	$37	769%
Sana Benefits	$38	790%
Ufcw	$38	790%
First Health Network	$40	832%
Manhattan Life	$40	832%
Phcs	$41	852%
Preferred Community Choice	$44	915%
Multiplan	$52	1081%

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 $12,283.
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 Oklahoma Heart Hospital South, LLC 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.