CMS Price Transparency Data

Blood test, sodium

Facility: HCA Houston Healthcare Kingwood

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $649
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Houston Healthcare Kingwood is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $649. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$649

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $649 (13493%)
Insurance Median: $6 (125%)
Cash: $649 (13493% of Medicare)
Ins. Median: $6 (125% 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 $4 - $32 83%
Amerigroup $4 - $5 83%
Community Health Choice Mcd $4 83%
Molina Healthcare $4 - $10 83%
Texas Childrens Health Plans $4 - $108 83%
Texas Health Network $4 83%
United $4 - $292 83%
American Health Plan $5 104%
Blue Cross Blue Shield $5 - $227 104%
Chc Harris Health $5 104%
Christus (Usfhp) $5 104%
Cigna $5 - $25 104%
Devoted Health $5 104%
Humana $5 - $64 104%
Integranet Amerigroup Ipa $5 104%
Kelsey Seybold $5 104%
Molina $5 104%
Oscar $5 - $14 104%
Procare Advantage $5 104%
Provider Partners Health Plan Of Texas $5 104%
Renaissance Ipa Radiology $5 104%
Shared Health $5 104%
Superior Health Plan $5 - $39 104%
Triwest Health Alliance $5 104%
Triwest Healthcare Alliance $5 104%
Van Lang Ipa $5 104%
Wellcare $5 104%
Wellmed $5 104%
Universal Healthcare Group $6 125%
Verda Health Plan $6 125%
Community Health Choice $7 146%
Superior $7 146%
Usa Managed Care $9 - $552 187%
Corvel Corporation $10 208%
Omni Healthcare $10 208%
Healthcare Highways $14 291%
Evry Health $177 3680%
Imagine Health $227 4719%
Kelsey Care (Boon-Chapman) $227 4719%
Healthsmart Preferred Care $279 - $552 5800%
Averde Health $292 6071%
Fidelis Securecare Of Tx $292 6071%
Coventry National First Health $346 7193%
Physicians Cooperative Of Texas $357 7422%
Rockport Workers Comp $357 7422%
Independent Medical System $389 8087%
National Healthcare Solutions $389 8087%
Southwest Medical $389 8087%
Coastal Comp $422 8773%
Multiplan $487 - $552 10125%
Physicians, Inc $552 11476%
Affiliated Ppo $584 12141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals