CMS Price Transparency Data

Blood test, sodium

Facility: Regional Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $870
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 180.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 180.87x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $30 (624%)
Insurance Median: $870 (18087%)
Cash: $30 (624% of Medicare)
Ins. Median: $870 (18087% 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 18087% of the Medicare baseline (a markup of 17987%). 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.

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
Medical Associates Health Plan - Tri $870 18087%

Consumer Guidance & Cost Commentary

For patients paying cash, you should know that this specific blood test for sodium has a median cash rate of $30, which is significantly lower than the facility's gross charge of $38 and the negotiated rate of $870 paid by Medical Associates Health Plan - Tri. Because insurance contracts often include administrative overhead and multi-layered pricing structures, the cash price can sometimes be the most affordable option, especially for those with high-deductible plans where the insurer's allowed amount may exceed the cash rate. It is important to contact the facility directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront incentives can further reduce the final cost.

The broader rate context shows that while the cash price of $30 is very low, the median negotiated rate of $870 for this service is substantially higher, reflecting the typical markup found in commercial insurance contracts. This specific service code (84295) is associated with Regional Medical Center in Manchester, Iowa, a Critical Access Hospital owned by the Government - Local. Although the data does not provide explicit state or county averages for comparison, the stark difference between the $30 cash rate and the $870 insurance rate highlights the importance of verifying your payment method before scheduling. Federal protections under the No Surprises Act may apply if out-of-network providers are involved, but for this in-network service, the primary takeaway is that paying out-of-pocket at the cash rate avoids the significantly higher administrative costs embedded in the insurance negotiated rate.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals