CMS Price Transparency Data

Blood test, sodium

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $20
  • Cash Discount Price: $613
  • vs. Medicare Baseline: 4.16x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Las Palmas Medical Center A Campus of Lpds Healthc is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $613. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 4.16x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$613

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $613 (12744%)
Insurance Median: $20 (416%)
Cash: $613 (12744% of Medicare)
Ins. Median: $20 (416% 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 416% of the Medicare baseline (a markup of 316%). 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
Aetna $4 - $5 83%
Amerigroup $4 - $5 83%
Centennial Care $4 83%
El Paso First Health Plans $4 83%
Molina Healthcare $4 - $10 83%
St David’S Hospice $4 - $5 83%
United $4 - $281 83%
Western Sky Community Care $4 - $5 83%
Alignment Health Plan $5 104%
American Health Plan Of Texas $5 104%
Arcadian Health Plan $5 104%
Blue Cross Blue Shield $5 - $37 104%
Cigna $5 - $67 104%
Clover Insurance Company $5 104%
Devoted Health $5 104%
Humana $5 104%
Imperial Insurance $5 104%
Provider Partners Health Plan $5 104%
Pyramid Life $5 104%
Shared Health $5 104%
Superior Health Plan $5 - $37 104%
Triwest Health Alliance $5 104%
Triwest Healthcare Alliance $5 104%
UnitedHealthcare $5 - $12 104%
Wellcare Of Tx $5 104%
Wellmed $5 104%
Bravo Health $6 125%
Molina Healthcare Mcr $6 125%
Universal Health Pffs Nc $6 125%
Corvel Corporation $10 208%
Oscar $16 333%
Bienvivir Senior Health $102 - $106 2121%
Healthcare Highways $116 - $120 2412%
First Health $271 - $281 5634%
Healthsmart Preferred Care $271 - $343 5634%
Emerging Therapy Solutions $277 - $431 5759%
Sheriff'S Dept El Paso County Detention $301 - $312 6258%
Ysleta Del Sur Pueblo $301 - $312 6258%
Southwest Medical Provider Network $331 - $343 6881%
Advantage Care Network $361 - $374 7505%
El Paso First Health Plan $361 - $374 7505%
Prime Health $361 - $374 7505%
Texas Workforce Commission $379 - $393 7879%
Multiplan $391 - $406 8129%
Phcs $391 - $406 8129%
Integrated Medical Systems $421 - $437 8753%
Samsa $421 - $437 8753%
Danmark - International Contract $452 - $468 9397%
Galaxy Health Network $452 - $468 9397%
Medcorp Southwest $482 - $499 10021%
Usa Managed Care $494 - $593 10270%
Affiliated Healthcare $512 - $530 10644%
National Provider Network $542 - $562 11268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals