Blood test, sodium
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 84295 (CPT)
- CPT Billing Code: 84295
- Insurance Median: $82
- Cash Discount Price: $109
- vs. Medicare Baseline: 17.05x 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 1705% of the Medicare baseline (a markup of 1605%). 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 | $66 | 1372% |
| Americas Choice Provider Network | $77 | 1601% |
| Usa Managed Care Organization | $82 | 1705% |
| Provider Network Of America | $82 | 1705% |
| Quiktrip Corporation | $82 | 1705% |
| Velocity | $82 | 1705% |
| Multiplan-Phcs | $87 | 1809% |
| Prime Health Services | $93 | 1933% |
| Medincrease | $98 | 2037% |
Consumer Guidance & Cost Commentary
For the blood test code 84295 at the Rehabilitation Hospital Of Overland Park, the cash price is $109.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average for this service, as indicated by a 17.0% variance compared to Medicare benchmarks. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network negotiate rates ranging from $66 to $93, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $109.00 cash rate directly, as this avoids potential out-of-pocket costs that could exceed the negotiated insurance amounts if their deductible has not yet been met.
To ensure you are receiving the most favorable rate, it is important to verify your specific plan's allowed amount before scheduling, as in-network rates can vary widely between carriers. If you choose to pay out-of-network, be aware that the No Surprises Act generally protects you from balance billing for emergency services and non-emergency services at in-network facilities, though unexpected ancillary charges may still occur. Regardless of your payment method, always request a prompt-pay discount or self-pay rate directly from the hospital prior to check-in; these upfront discounts can reduce your total cost by 20% to 50% by bypassing administrative claim processing fees. Finally, if you receive a bill, insist on an itemized statement that lists every specific CPT code to identify any unbundled charges or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.