Blood test, sodium
Facility: Mercy St Francis Hospital
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $65
- Cash Discount Price: $47
- vs. Medicare Baseline: 13.51x 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 1351% of the Medicare baseline (a markup of 1251%). 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 |
|---|---|---|
| Medicaid / KanCare | $4 - $37 | 83% |
| Medicare (plans) | $5 - $26 | 104% |
| Blue Cross Blue Shield | $5 - $70 | 104% |
| UnitedHealthcare | $5 - $68 | 104% |
| Acentra Health Contracted [320527] | $20 | 416% |
| Cherokee Nation Health Serv Contracted [320066] | $20 - $25 | 416% |
| Qual Choice Contracted [320325] | $20 - $25 | 416% |
| Pace of the Ozarks Contracted [320518] | $20 - $25 | 416% |
| Cigna | $20 - $68 | 416% |
| Indian Health Service Contracted [320198] | $20 - $25 | 416% |
| Globalhealth Contracted [320145] | $20 - $25 | 416% |
| Mercy Hospice Okc [20252] | $20 - $25 | 416% |
| Halo Hcr Inc Hospice [20432] | $20 - $25 | 416% |
| Provider Partners Health Plans Contracted [320450] | $20 - $25 | 416% |
| Halo Hcr Inc Hospice Contracted [320432] | $20 - $25 | 416% |
| Kindful Hospice Contracted [320434] | $20 - $25 | 416% |
| Humana | $20 - $65 | 416% |
| Kindful Hospice [20434] | $20 - $25 | 416% |
| Elara Caring Aspire Hospice [20433] | $20 - $25 | 416% |
| Aetna | $20 - $64 | 416% |
| Medical Associates Health Contracted [320444] | $20 - $25 | 416% |
| Cross Timbers Hospice [20098] | $20 - $25 | 416% |
| Mercy Mgd Behavioral Health Contracted [320259] | $20 - $25 | 416% |
| Dept of Veteran Affairs Contracted [320106] | $20 - $25 | 416% |
| Tricare | $24 | 499% |
| Healthscope Contracted [320182] | $25 - $33 | 520% |
| Administrative Payor Contracted [320005] | $32 | 665% |
| Centivo Contracted [320505] | $33 - $42 | 686% |
| Ambetter / Centene | $37 | 769% |
| Novasys Contracted [320285] | $37 | 769% |
| Home State Health Plan Contracted [320187] | $37 | 769% |
| Preferred Health Plan Contracted [320522] | $47 | 977% |
| Healthlink Contracted [320179] | $47 - $68 | 977% |
| Workers Comp [20426] | $58 - $61 | 1206% |
| United Medical Resources Contracted [320454] | $65 - $67 | 1351% |
| Auxiant Contracted [320462] | $65 - $68 | 1351% |
| Mercy Benefit Admin Contracted [320251] | $65 - $68 | 1351% |
| Point C Contracted [320238] | $65 - $68 | 1351% |
| Show-Me Health Administrators Contracted [320483] | $68 | 1414% |
| Imagine 360 Contracted [320494] | $68 | 1414% |
| USA Managed Care Org Contracted [320429] | $68 | 1414% |
| Reflect Health Contracted [320492] | $68 | 1414% |
| Edison Health Solutions Contracted [320502] | $68 | 1414% |
| Health Systems Inc Contracted [320174] | $68 | 1414% |
| Multiplan Contracted [320270] | $68 | 1414% |
| Insurance System Inc Contracted [320465] | $68 | 1414% |
| Ebms Contracted [320493] | $68 | 1414% |
| Medica Contracted [320239] | $68 | 1414% |
| Point C [20238] | $68 | 1414% |
| Evolutions Health Care Contracted [320124] | $68 | 1414% |
| Yuzu Health Contracted [320521] | $68 | 1414% |
| First Health Contracted [320128] | $68 | 1414% |
| Aither Health Contracted [320449] | $68 | 1414% |
| Benefit Management Contracted [320052] | $68 | 1414% |
| Private Health Care Systems Contracted [320320] | $68 | 1414% |
| 90 Degree Benefits Contracted [320436] | $68 | 1414% |