Blood sodium level
Medicare pricing data for 3,590 providers across 48 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Blood sodium level (HCPCS code 84295) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.56, but hospitals typically charge $17.93 — a 3.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.56, your out-of-pocket cost would be approximately $0.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $4.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $5 | $20 | 450 | 6,904 | +3.3% |
| Nebraska | $5 | $14 | 15 | 158 | +3.3% |
| New Mexico | $5 | $29 | 7 | 105 | +3.3% |
| North Dakota | $5 | $35 | 21 | 160 | +3.3% |
| Rhode Island | $5 | $20 | 5 | 99 | +3.3% |
| South Dakota | $5 | $23 | 26 | 187 | +3.3% |
| Utah | $5 | $20 | 17 | 105 | +3.3% |
| Vermont | $5 | $46 | 16 | 25 | +3.3% |
| Puerto Rico | $5 | $7 | 21 | 30 | +3.3% |
| Arkansas | $5 | $9 | 53 | 933 | +3.3% |
| Connecticut | $5 | $23 | 25 | 117 | +3.3% |
| Georgia | $5 | $18 | 67 | 1,194 | +3.1% |
| Iowa | $5 | $20 | 106 | 3,835 | +3.1% |
| Maryland | $5 | $16 | 38 | 512 | +3.1% |
| Nevada | $5 | $22 | 8 | 450 | +3.1% |
| South Carolina | $5 | $42 | 80 | 15,327 | +3.1% |
| Virginia | $5 | $15 | 68 | 1,638 | +3.1% |
| Wisconsin | $5 | $46 | 214 | 4,856 | +3.1% |
| Indiana | $5 | $29 | 51 | 18,357 | +2.9% |
| Kentucky | $5 | $11 | 17 | 171 | +2.9% |
| Minnesota | $5 | $36 | 710 | 15,817 | +2.9% |
| Delaware | $5 | $15 | 4 | 47 | +2.6% |
| Mississippi | $5 | $18 | 51 | 558 | +2.6% |
| New Hampshire | $5 | $16 | 8 | 60 | +2.6% |
| Oregon | $5 | $15 | 24 | 147 | +2.6% |
| Pennsylvania | $5 | $9 | 56 | 3,605 | +2.6% |
| Florida | $5 | $14 | 172 | 35,213 | +2.2% |
| Louisiana | $5 | $9 | 22 | 985 | +2.0% |
| California | $5 | $17 | 127 | 38,339 | +2.0% |
| Idaho | $5 | $13 | 10 | 86 | +1.8% |
| New York | $5 | $14 | 85 | 2,827 | +1.8% |
| Michigan | $5 | $13 | 46 | 596 | +1.1% |
| Arizona | $5 | $19 | 70 | 6,366 | +0.7% |
| Hawaii | $5 | $31 | 6 | 2,484 | +0.4% |
| Missouri | $5 | $20 | 53 | 437 | +0.4% |
| Kansas | $5 | $13 | 26 | 2,967 | -1.1% |
| West Virginia | $5 | $15 | 7 | 29 | -1.1% |
| Tennessee | $4 | $20 | 101 | 1,083 | -1.5% |
| Illinois | $4 | $10 | 81 | 5,294 | -2.0% |
| North Carolina | $4 | $13 | 205 | 29,071 | -2.2% |
| Texas | $4 | $9 | 128 | 16,906 | -2.4% |
| Colorado | $4 | $14 | 41 | 2,967 | -3.3% |
| New Jersey | $4 | $7 | 31 | 20,517 | -4.2% |
| Alabama | $4 | $8 | 41 | 5,968 | -4.2% |
| Washington | $4 | $9 | 65 | 4,073 | -6.8% |
| Maine | $4 | $12 | 14 | 39 | -7.5% |
| Ohio | $4 | $7 | 78 | 11,573 | -9.4% |
| Oklahoma | $3 | $7 | 10 | 661 | -29.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber