Blood test, sodium
Facility: Ohio Valley Surgical Hospital
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $11,885
- Cash Discount Price: $25
- vs. Medicare Baseline: 2470.89x 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 247089% of the Medicare baseline (a markup of 246989%). 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 | $2 - $40,293 | 42% |
| UnitedHealthcare | $6 - $17,571 | 125% |
| Pacific Source | $7 - $20,896 | 146% |
| Mhbp | $7 - $20,896 | 146% |
| Mail Handlers | $7 - $20,896 | 146% |
| Geha | $7 - $20,896 | 146% |
| Ngs Coresource | $7 - $20,896 | 146% |
| Meritain | $7 - $20,896 | 146% |
| Genworth | $7 - $20,896 | 146% |
| Aetna | $7 - $20,896 | 146% |
| Personify Health | $7 - $20,896 | 146% |
| Meritain Heatlh | $7 - $20,896 | 146% |
| Nippon Life | $7 - $20,896 | 146% |
| Mmoh | $19 - $11,885 | 395% |
| Mmoh (Supermed) | $19 - $20 | 395% |
| Mmo Cin. HMO | $19 - $26 | 395% |
| Medicare (plans) | $25 - $12,264 | 520% |
| Ohio Health | $38 | 790% |
| Preferred Health | $38 | 790% |
| Luminare Health | $38 | 790% |
| Medben | $38 | 790% |
| Medicaid / KanCare | $3,557 - $17,827 | 73950% |
| Amerihealth Caritas of Ohio | $3,657 | 76029% |
| Buckeye Community Health Plan | $4,022 | 83617% |
| Molina McD | $4,084 | 84906% |
| Caresource | $4,364 - $17,827 | 90728% |
| Humana | $4,493 - $11,919 | 93410% |
| American Continental Insurance | $11,885 | 247089% |
| Bankers Fidelity | $11,885 | 247089% |
| Patient No Pay | $11,885 | 247089% |
| Self Pay Imaging | $11,885 | 247089% |
| Molina | $11,885 | 247089% |
| Champus | $11,885 | 247089% |
| Everest | $11,885 | 247089% |
| Communicare Advantage | $11,885 | 247089% |
| Molina Dual McR | $11,885 | 247089% |
| Aarp Supplemental | $11,885 | 247089% |
| Gateway Health Plan | $11,885 | 247089% |
| American Retirement | $11,885 | 247089% |
| Medigold | $11,885 | 247089% |
| Wraparound Pl Supp | $11,885 | 247089% |
| Molina McR | $11,885 | 247089% |
| Wellcare By Allwell | $11,885 | 247089% |
| Cigna | $11,885 - $18,817 | 247089% |
| American Republic | $11,885 | 247089% |
| Molina Dual McR | $11,885 | 247089% |
| Bankers Life and Casualty | $11,885 | 247089% |
| American Continental Life | $11,885 | 247089% |
| Molina McR+McD | $11,885 | 247089% |
| Central States | $11,885 | 247089% |
| Molina Marketplace | $11,885 | 247089% |
| Aultcare Primetime Health Plan | $11,885 | 247089% |
| Aarp | $11,885 | 247089% |
| Molina McR McD | $11,885 | 247089% |
| Prosperity Supplement | $11,885 | 247089% |
| The Health Plan | $12,479 | 259439% |
| Devoted Health | $13,707 | 284969% |
| Employer Direct | $15,703 | 326466% |
| Medica | $17,571 | 365301% |
| Surest | $17,571 | 365301% |
| Shl | $17,571 | 365301% |
| Oxford | $17,571 | 365301% |
| Ushealth | $17,571 | 365301% |
| Golden Rule | $17,571 | 365301% |
| Caresourse | $17,827 | 370624% |
| Sbma | $18,817 | 391206% |
| Unified Group | $18,817 | 391206% |
| Healthgram | $18,817 | 391206% |
| Samba | $18,817 | 391206% |
| Nalc | $18,817 | 391206% |