Blood test, sodium
Facility: Johnson Memorial Hospital
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $10
- Cash Discount Price: $25
- vs. Medicare Baseline: 2.08x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 - $10 | 104% |
| Medicare (plans) | $5 | 104% |
| Geha | $5 | 104% |
| Aetna | $5 - $10 | 104% |
| UnitedHealthcare | $5 - $46 | 104% |
| Cca Senior Care Options | $5 | 104% |
| Harvard Pilgrim Healthcare | $5 | 104% |
| Cigna | $5 - $36 | 104% |
| Fallon Health | $6 | 125% |
| Centivo | $6 | 125% |
| Connecticare | $8 - $9 | 166% |
| Diversified Administrators | $10 | 208% |
| 1199 National Benefit Fund | $10 | 208% |
| Blue Shield - Wa (Regence) | $10 | 208% |
| Gravie Admin Services | $10 | 208% |
| Blue Care Network | $10 | 208% |
| Blue Shield - Id (Regence) | $10 | 208% |
| Nippon Life Ins | $10 | 208% |
| Hap | $10 | 208% |
| Bcn Domestic | $10 | 208% |
| Claimdoc | $10 | 208% |
| Kaiser Domestic | $10 | 208% |
| Health Choices | $10 | 208% |
| Blue Distinction Transplant | $10 | 208% |
| Webtpa | $10 | 208% |
| Meritain | $10 | 208% |
| Pre-Employment | $10 | 208% |
| Wellpoint | $10 | 208% |
| Wc Domestic | $10 | 208% |
| Innovative Health Plan II | $10 | 208% |
| Unicare | $10 | 208% |
| Blue Shield - PA (Highmark) | $10 | 208% |
| Blue Benefit Administrators of Massachusetts | $10 | 208% |
| Blue Shield - Ny Highmark Western | $10 | 208% |
| Blue Shield - Ny Highmark Northeastern | $10 | 208% |
| Blue Shield - Ca | $10 | 208% |
| Allied Benefit Systems | $10 | 208% |
| Luminare Health | $10 | 208% |
| Connecticut Dept of Correction | $15 | 312% |
| Magnacare | $28 | 582% |
| Health Partners | $28 | 582% |
| Allegiance | $28 | 582% |
| Health New England | $30 | 624% |
| Prime Health Services | $37 | 769% |
| Asrm - Reliance Standard Life Insurance | $38 | 790% |
| Ghc Scw | $38 | 790% |
| International Benefit Administrators | $38 | 790% |
| Lifetime Benefit Solutions | $38 | 790% |
| Mvp | $38 | 790% |
| Paramount HMO | $38 | 790% |
| Christian Care Ministry | $38 | 790% |
| Medi Share | $38 | 790% |
| Manhattan Life | $38 | 790% |
| Pai | $38 | 790% |
| Allied National Global Care | $38 | 790% |
| Dean Health | $38 | 790% |
| Pan-American Life | $38 | 790% |
| Multiplan | $38 | 790% |
| PHCS | $38 | 790% |
| Trinity Health Share | $38 | 790% |
| Family Life Insurance Company | $38 | 790% |
| Health Smart | $39 | 811% |
| United Behavioral Health Eap | $46 | 956% |