CMS Price Transparency Data

Blood test, sodium

Facility: Dallas Regional 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 Dallas Regional 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 1011 North Galloway Avenue, Mesquite, 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
Aetna $3 - $7 62%
Blue Cross Blue Shield $4 - $19 83%
Cigna $4 - $5 83%
Medicaid / KanCare $4 - $20 83%
Molina $4 - $21 83%
Superior Health Plan/Wellcare $4 - $15 83%
UnitedHealthcare $4 - $19 83%
Wellpoint Amerigroup $4 - $20 83%
American Health Plan $5 104%
Care N Care Insurance Company $5 104%
Careworks Fka (Rockport Community Network) Workercomp $5 104%
Imperial Insurance Companies Mcr $5 104%
Medicare (plans) $5 104%
Multiplan $5 104%
Provider Partners Health Plan $5 104%
Texas Bluebonnett Health Plan $5 - $8 104%
Tricare $5 104%
Usa Senior Care Network $5 104%
Wellmed $5 104%
Hi Card $6 125%
Worker Compensation $6 - $10 125%
American Correction Healthcare $7 146%
Corporate Remedies Workers Comp $7 146%
Employee Direct Healthcare $7 146%
Naphcare -Prison $7 146%
Total Plans Srvices $7 146%
Wellpath $7 146%
Elap Services $8 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1011 North Galloway Avenue, Mesquite, TX 75149
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals