CMS Price Transparency Data

Blood test, sodium

Facility: Lee County Community Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Lee County Community Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $9 (187%)
Insurance Median: $8 (166%)
Cash: $9 (187% of Medicare)
Ins. Median: $8 (166% 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
Blue Cross Blue Shield $5 - $37 104%
UnitedHealthcare $5 - $8 104%
Aetna $8 - $37 166%
Ambetter / Centene $8 166%
Amerigroup $8 - $37 166%
Humana $8 166%
Managed Medicaire $8 166%
Medicare (plans) $8 166%
Molina Healthcare $8 166%
Mountain Empire Pace $8 166%
Optima Health $8 166%
Sentara Health $8 - $10 166%
United Mine Workers Of America $8 166%
Cigna $9 - $37 187%
Devoted Health Plan $9 187%
Nhc Advantage $9 187%
Seven Corners, Inc. $20 416%
First Health Coventry $37 769%
Medcost $37 769%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals