CMS Price Transparency Data

Blood test, sodium

Facility: Methodist Rehabilitation Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $41
Cash Discount Price: $51
vs. Medicare Baseline: 8.52x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Methodist Rehabilitation Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 8.52x the Medicare baseline. Located in 3020 West Wheatland Road, Dallas, TX.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $51 (1060%)

Insurance Median: $41 (852%)

Cash: $51 (1060% of Medicare)

Ins. Median: $41 (852% 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 852% of the Medicare baseline (a markup of 752%). 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
Humana	$17 - $78	353%
Group And Pension Administrators (Under Multiplan) (Primary)	$18 - $60	374%
Multiplan (Pchs)	$18 - $60	374%
Multiplan	$20 - $65	416%
Aetna	$23 - $78	478%
Ambetter / Centene	$23 - $78	478%
Amerigroup	$23 - $78	478%
Blue Cross Blue Shield	$23 - $78	478%
Cigna	$23 - $78	478%
Friday Health Commercial (Ppo & Epo)	$23 - $78	478%
Healthcare Highways	$23 - $78	478%
Healthscope	$23 - $78	478%
Medicare (plans)	$23 - $78	478%
Molina Exchange	$23 - $78	478%
Oscar Healthcare	$23 - $78	478%
Scott & White Health Plan	$23 - $78	478%
Southwestern Health Resources (Paid Under United Hc)	$23 - $78	478%
Superior	$23 - $78	478%
Texas Plus (Universal American)(Includes Wellcare - Merged With Texan Plus Eff 1/1/19)	$23 - $78	478%
UnitedHealthcare	$23 - $78	478%
Wellmed	$23 - $78	478%

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 $51.
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 Methodist Rehabilitation 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.