CMS Price Transparency Data

Blood test, sodium

Facility: Riverside Community Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Riverside Community Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$348

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: $348 (7235%)
Insurance Median: $5 (104%)
Cash: $348 (7235% 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
Bristol Hospice $4 83%
Aetna $5 - $63 104%
Alignment Health Plan $5 104%
Blue Cross Blue Shield $5 - $25 104%
Blue Shield $5 - $53 104%
Brand New Day $5 104%
Care1St Health Plan $5 104%
Central Health Plan $5 104%
Clever Care Of Golden State $5 104%
Easy Choice Health Plan $5 104%
Health Net $5 - $78 104%
Heritage Provider Network $5 - $7 104%
Humana $5 104%
La Care Health $5 104%
Molina $5 104%
Redlands Community Hospital $5 104%
Riverside Medical Clinic $5 - $6 104%
Riverside Physician $5 104%
Scan Health Plan $5 104%
Triwest Healthcare Alliance $5 104%
United $5 - $92 104%
UnitedHealthcare $5 104%
Corvel Corporation $6 125%
Healthsmart $6 - $278 125%
Next $6 - $278 125%
Inland Empire Health Plan $7 - $8 146%
Bright Health $12 249%
Cigna $13 270%
Medcare Partners $52 1081%
First Health $153 - $313 3181%
American Health System $157 3264%
Multiplan $278 - $296 5780%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals