CMS Price Transparency Data

Blood test, sodium

Facility: Knapp Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Knapp Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $4 (83%)
Insurance Median: $5 (104%)
Cash: $4 (83% 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.

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
Corvel $3 62%
Molina $4 - $9 83%
Provider Network Of America $4 83%
Provider Select $4 83%
Superior Health Plan $4 - $8 83%
Three Rivers $4 83%
UnitedHealthcare $4 - $8 83%
Zelis Healthcare Fka Stratose $4 83%
Americas Choice Provider Network (Acpn) $5 104%
Blue Cross Blue Shield $5 - $17 104%
Cigna $5 - $8 104%
Coventry (First Health) $5 104%
Division Of Immigration Health $5 104%
Imperial Insurance Companies $5 104%
Medicare (plans) $5 104%
Multiplan $5 104%
Prime Health Services $5 104%
Provider Partners Health Plan $5 104%
Texas Bluebonnet Health Plan $5 - $8 104%
Tricare $5 104%
Veterans Evaluation Services $5 104%
Wellmed Aarp Ma Fka Physicians Health Choice $5 104%
Worker Comp $5 104%
Frontier Health (Fka Asserta Health) $6 125%
Magic Valley Electric Cooperative $6 125%
Texas Oncology Pa Op $6 125%
Corporate Remedies (Wc) $7 146%
Employer Direct Healthcare $7 146%
Naphcare $7 146%
Medicaid / KanCare $8 166%
Occunet $8 166%
Baker Benefits Administrators $10 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals