CMS Price Transparency Data

Blood test, sodium

Facility: University of Alabama Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $54
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 11.23x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at University of Alabama Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 11.23x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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%)
Insurance Median: $54 (1123%)
Ins. Median: $54 (1123% 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 1123% of the Medicare baseline (a markup of 1023%). 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
Viva $2 - $5 42%
Humana $4 - $91 83%
Birmingham Fc $5 104%
Blue Cross Blue Shield $5 104%
Cigna $5 - $72 104%
Cooper Green $5 104%
Davita Villagehealth $5 104%
Jefferson County Sheriff $5 104%
Triwest $5 104%
UnitedHealthcare $5 - $58 104%
Ambetter / Centene $7 146%
University Of Alabama $22 - $54 457%
Aetna $26 - $65 541%
Coventry $28 - $86 582%
North Alabama Managed Care $28 - $70 582%
Comp One $31 - $77 644%
Alamed $32 - $80 665%
Construction Claims Management $32 - $80 665%
Corvel $34 - $86 707%
Evolutions $34 - $96 707%
Healthcare Alliance $34 - $86 707%
Novanet $34 - $96 707%
Prime Health Services $34 - $96 707%
Select Value Care $34 - $86 707%
Starcare $34 - $86 707%
Tethys $34 - $86 707%
Multiplan $35 - $88 728%
Department Of Labor $37 - $91 769%
Geha $37 - $91 769%
Gulf Health Plans $37 - $91 769%
Heritage Summit Health $37 - $91 769%
Mississippi Physicians $37 - $91 769%
Phifer $37 - $91 769%
Preferred Health Partnership $37 - $91 769%
Southern Nuclear $37 - $91 769%
Vantage Health Plan $37 - $91 769%
Galaxy Health Network $39 - $96 811%
National Provider Network $39 - $96 811%
North Mississippi Health Link $39 - $96 811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals