CMS Price Transparency Data

Blood test, sodium

Facility: Medical Center Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $10
Cash Discount Price: $54
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Medical Center Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $54 (1123%)

Insurance Median: $10 (208%)

Cash: $54 (1123% of Medicare)

Ins. Median: $10 (208% 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 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Geha	$2	42%
UnitedHealthcare	$2 - $7	42%
Ambetter / Centene	$4 - $5	83%
Amerigroup	$4	83%
Blue Cross Blue Shield	$4 - $36	83%
Community Health Choice	$4	83%
Corvel Wc	$4	83%
First Care Health Plan	$4	83%
Medicaid / KanCare	$4	83%
Superior Chips	$4	83%
Superior Health Plan	$4	83%
Aetna	$5 - $55	104%
Care Improvement Plus	$5	104%
Humana	$5	104%
Novitas Solutions	$5	104%
Triwest Va Ccn	$5	104%
Wellcare By Allwell	$5	104%
Group Resources	$6	125%
Workers Comp	$10	208%
Health Select	$13 - $36	270%
90 Degree Benefits	$16 - $40	333%
Cigna	$20	416%
Caprock	$21 - $25	437%
Healthsmart Preferred Care	$23 - $50	478%
State Comptroller	$42	873%
Texas Mutual Wc	$55	1143%
Firstcare	$59	1227%

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 $54.
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 Medical Center Hospital 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.