CMS Price Transparency Data

Blood test, sodium

Facility: Paradise Valley Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Paradise Valley Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$4

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: $4 (83%)
Insurance Median: $5 (104%)
Cash: $4 (83% 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 $4 - $6 83%
Blue Sheid Of Promise $4 83%
County Of San Diego $4 83%
Golden Physicians Medical Group $4 - $6 83%
Health Excel Ins $4 - $5 83%
Health Net Of Ca $4 - $7 83%
Heritage Provider Netwrok $4 - $6 83%
Molina $4 - $5 83%
Traditional Medi-Cal $4 83%
UnitedHealthcare $4 - $8 83%
Blue Shield Of Ca, Va $5 104%
Brand New Day $5 - $7 104%
Ca Foundation For Medical Care $5 104%
Central Health $5 104%
Choice Physicians Network $5 104%
Clever Care Of Golden State, Inc $5 104%
Community Health Group $5 104%
Imperial Health Plan Of Ca $5 104%
Managed Health Network $5 104%
Medicare (plans) $5 104%
Renal Payer Solutions $5 104%
Tricare $5 104%
Usa Senior Care Network $5 104%
Verda Health Plan $5 104%
Health Net Federal Service (Cdcr) $6 125%
Integrated Medical Solutions $6 125%
Veterans Evaluation Services $6 125%
Worker Comp $6 125%
Ca Dept Of Correction & Rehab $7 146%
Employer Direct Healthcare $7 146%
Naphcare $7 - $10 146%
Scripps Health $8 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals