CMS Price Transparency Data

Blood test, sodium

Facility: Northwest Medical Center Sahuarita

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Northwest Medical Center Sahuarita is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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%)
Cash / Self-Pay: $73 (1518%)
Insurance Median: $5 (104%)
Cash: $73 (1518% of Medicare)
Ins. Median: $5 (104% 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.

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
Aetna $5 - $7 104%
Banner Mcr Adv $5 104%
Blue Cross Blue Shield $5 - $34 104%
Cigna $5 - $8 104%
Department Of Veterans Affairs $5 104%
Humana $5 104%
Medicaid / KanCare $5 104%
Medicare (plans) $5 104%
Mercy Care $5 104%
Node Banner Mcr Adv $5 104%
Node Caremore Mcr Adv $5 104%
Node Champva $5 104%
Node Clover Health Mcr Adv $5 104%
Node Devoted Health Mcr Adv $5 104%
Node Mercy Care Mcr Adv $5 104%
Node Non Par Hospice Agree $5 104%
Node Triwest $5 104%
Node Va $5 104%
Node Wellcare Mcr Adv $5 104%
Tricare $5 104%
UnitedHealthcare $5 - $6 104%
Node Us Dept Of Labor $6 125%
Ambetter / Centene $7 146%
Node Health Choice Health Exchange $7 146%
Node Fusion Network $9 187%
Node J Allen Inmate Health Svcs $9 187%
Self Pay $46 - $100 956%
Coventry Work Comp Al $154 3202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals