CMS Price Transparency Data

Blood test, sodium

Facility: Penn State Health Hampden Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $5
Cash Discount Price: $10
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Penn State Health Hampden Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 2200 Good Hope Road, Enola, PA.

Cash / Self-Pay

$10

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $10 (208%)

Insurance Median: $5 (104%)

Cash: $10 (208% 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.

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
[Amerihealth Caritas]	$4 - $5	83%
[Geisinger]	$4 - $21	83%
[Health Partners Plans]	$4 - $5	83%
[Highmark Wholecare]	$4 - $5	83%
[Pa Health & Wellness]	$4 - $5	83%
Aetna	$5 - $13	104%
Humana	$5	104%
UnitedHealthcare	$5 - $12	104%
[Cbc]	$5 - $15	104%
[Healthspring]	$5	104%
[Highmark]	$5 - $14	104%
[Upmc]	$5 - $23	104%
[Point Comfort Underwriters]	$6	125%
[Highmark Choice Blue]	$11	229%
[Highmark Aca]	$12	249%
Cigna	$14	291%
[Preferred Healthcare Systems]	$23	478%
[First Health]	$25	520%
[Multiplan]	$25	520%

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 $10.
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 Penn State Health Hampden Medical Center 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.