CMS Price Transparency Data

Blood test, sodium

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at CHI St Lukes Lakeside Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $39 (811%)
Insurance Median: $9 (187%)
Cash: $39 (811% of Medicare)
Ins. Median: $9 (187% 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
Renaissance $3 62%
Blue Cross Blue Shield $4 - $25 83%
Tchp $4 - $5 83%
United $4 - $53 83%
UnitedHealthcare $4 - $93 83%
Wellpoint $4 - $7 83%
Aetna $5 - $76 104%
Amerivantage $5 104%
Chc $5 - $62 104%
Cigna $5 - $78 104%
Devoted $5 104%
Humana $5 - $73 104%
Kelsey $5 104%
Kindred $5 104%
Scanhealth $5 104%
Selectcare $5 104%
Kelseycare $6 125%
Ambetter / Centene $7 146%
Community Health Choice $7 146%
Harris Health $7 146%
Bright Health $8 166%
Nx Health $16 333%
Tchpchip $39 - $49 811%
Texastruechoice $62 1289%
Coventry $73 1518%
First Health $73 1518%
Healthsmart $78 1622%
Interlink $78 1622%
Multiplan $84 1746%
USA Health Network $95 1975%
Mhealth Network $112 2328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals