CMS Price Transparency Data

Blood test, sodium

Facility: Medical City North Hills

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Medical City North Hills is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$292

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $292 (6071%)
Insurance Median: $7 (146%)
Cash: $292 (6071% of Medicare)
Ins. Median: $7 (146% 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
Cook Childrens Health Plan $3 62%
Aetna $4 - $212 83%
Amerigroup $4 - $5 83%
Cigna $4 - $233 83%
Molina $4 - $5 83%
Parkland Community Health Plan $4 83%
United $4 - $63 83%
American Health Plan Of Texas, Inc. $5 104%
Blue Cross Blue Shield $5 - $130 104%
Care N Care $5 104%
Cenpatico $5 104%
Devoted Health $5 104%
Humana $5 - $53 104%
Imperial Insurance Company $5 104%
Integranet $5 104%
Mutual Of Omaha $5 104%
Procare Advantge $5 104%
Provider Partners Health Plan $5 104%
Superior Health Plan $5 - $20 104%
Texas Independent Health Plan $5 104%
Triwest Health Alliance $5 104%
Triwest Veterans $5 104%
Wellcare $5 104%
Wellmed $5 104%
Universal Healthcare Group $6 125%
Verda Health Plan $6 125%
Bravo Health $7 146%
Superior $9 - $11 187%
Usa Managed Care $9 - $233 187%
Corvel Corporation $10 208%
Molina Healthcare $13 270%
Oscar $13 270%
Unicare $61 - $292 1268%
Healthcare Highways $71 - $99 1476%
Evry Health $75 1559%
City Of Mckinney $131 2723%
Fidelis Securecare $131 2723%
National Choicecare $146 3035%
Pc Texas Partners $160 3326%
Physicians Coop Of Tx $160 3326%
Rockport Health Group $160 3326%
Averde Health, Inc $169 3514%
Magellan Behavior Health $175 3638%
Coastal Comp Health Networks $204 4241%
Mega Life $204 4241%
Multiplan Phcs $204 4241%
Healthsmart Preferred Care $219 4553%
Lewisville Isd/Dls Consulting $219 4553%
Usc Health Services $233 4844%
Galaxy Health Network $248 5156%
Independent Medical Systems $292 6071%
National Healthcare Solutions $292 6071%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals