CMS Price Transparency Data

Blood test, sodium

Facility: Medical City Lewisville

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $437
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Medical City Lewisville is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$437

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: $437 (9085%)
Insurance Median: $7 (146%)
Cash: $437 (9085% 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 - $318 83%
Amerigroup $4 - $5 83%
Cigna $4 - $61 83%
Molina $4 - $5 83%
Parkland Community Health Plan $4 83%
Texas Health Network $4 83%
United $4 - $87 83%
American Health Plan Of Texas, Inc. $5 104%
Blue Cross Blue Shield $5 - $194 104%
Care N Care $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 - $31 104%
Texas Independent Health Plan $5 104%
Triwest Health Alliance $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 - $350 187%
Corvel Corporation $10 208%
Molina Healthcare $13 270%
Oscar $13 270%
Unicare $105 - $437 2183%
Healthcare Highways $107 - $148 2225%
Evry Health $113 2349%
City Of Mckinney $197 4096%
Fidelis Securecare $197 4096%
National Choicecare $218 4532%
Pc Texas Partners $240 4990%
Physicians Coop Of Tx $240 4990%
Rockport Health Group $240 4990%
Averde Health, Inc $253 5260%
Usc Health Services $262 5447%
Coastal Comp Health Networks $306 6362%
Jostens $306 6362%
Mega Life $306 6362%
Multiplan Phcs $306 6362%
Healthsmart Preferred Care $328 6819%
Lewisville Isd/Dls Consulting $328 6819%
Galaxy Health Network $371 7713%
Independent Medical Systems $437 9085%
National Healthcare Solutions $437 9085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals