CMS Price Transparency Data

Blood test, sodium

Facility: Adventist Health and Rideout

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $25
Cash Discount Price: $20
vs. Medicare Baseline: 5.20x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Adventist Health and Rideout is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 5.20x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $20 (416%)

Insurance Median: $25 (520%)

Cash: $20 (416% of Medicare)

Ins. Median: $25 (520% 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 520% of the Medicare baseline (a markup of 420%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc Mcal	$1	21%
Healthnet Mcal	$2 - $25	42%
Blue Cross Blue Shield	$5 - $95	104%
Kaiser Mcal	$5	104%
Kaiser Mcr Adv	$5	104%
Medi-Cal	$5	104%
Partnership Hp Mcal -All Plans	$5	104%
Tricare	$5	104%
UnitedHealthcare	$5 - $107	104%
Ca Health And Wellness- All Plans	$6	125%
Celtic Mcaid-All Plans	$6	125%
Healthnet Comm-All Other Plans	$7 - $74	146%
Aetna	$8 - $87	166%
Ah Employee Health Plan - All Plans	$9	187%
Blue Shield Uc Care Members	$9 - $98	187%
Kaiser-All Other Plans	$9 - $93	187%
Cigna	$10 - $105	208%
First Health-All Plans	$10 - $108	208%
Phcs-All Plans	$10 - $108	208%
Blue Shield-All Other Plans	$11 - $117	229%
Interplan-All Plans	$11 - $111	229%
Multiplan-All Plans	$11 - $117	229%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health and Rideout is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.