CMS Price Transparency Data

Blood test, sodium

Facility: Huron Regional Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $164
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 34.10x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Huron Regional Medical Center is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 34.10x the Medicare baseline. Located in 172 Fourth Street Se, Huron, SD.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$164

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: $104 (2162%)
Insurance Median: $164 (3410%)
Cash: $104 (2162% of Medicare)
Ins. Median: $164 (3410% 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 3410% of the Medicare baseline (a markup of 3310%). 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
Wellmark $34 707%
UnitedHealthcare $125 2599%
Avera $129 2682%
Medica $157 3264%
Multiplan $157 3264%
Sanford $162 3368%
Healthpartners $167 3472%
Americas $169 3514%
First Choice Of The Midwest $169 3514%
First Health Coventry $169 3514%
Integrated Health Plan $169 3514%
Tlc Advantage $169 3514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 172 Fourth Street Se, Huron, SD 57350
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals