CMS Price Transparency Data

Blood test, sodium

Facility: Ventura County Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Ventura County Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $58 (1206%)
Insurance Median: $7 (146%)
Cash: $58 (1206% of Medicare)
Ins. Median: $7 (146% 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
Alignment Hp - All Plans $5 104%
Blue Shield Mcr Adv $5 104%
Clinicas Mcr Adv $5 104%
Healthnet Mcr Adv $5 104%
Hpn Ip/Op Only Medi-Cal $5 104%
Humana $5 104%
Kaiser Medi-Cal Ip/Op Only $5 104%
Medi-Cal $5 104%
UnitedHealthcare $5 - $63 104%
Americas Hp Mcr Adv Ip/Op Only $6 125%
Clinicas Comm - All Other Plans $6 125%
Clinicas Mcal $6 125%
Imperial-All Plans $6 125%
Kaiser Mcal Pediatric Ip/Op Only $6 125%
Ntwrk Provdrs-All Plans $6 125%
Scan-All Plans $6 125%
Tricare $6 125%
Western Growers-All Plans $6 125%
Americas Hp Comm Ip/Op Only-All Other Plans $7 146%
Americas Hp Mcal Ip/Op Only $7 146%
Cigna $9 187%
Gold Coast Medi-Cal-All Plans $9 187%
Blue Shield Comm - All Other Plans $16 333%
Vchcp-All Plans $22 457%
Blue Shield Epn $45 936%
Healthnet Comm-All Other Plans $63 1310%
Kaiser Comm Pediatric Ip/Op Only $63 1310%
Aetna $67 - $115 1393%
Blue Cross Blue Shield $69 - $106 1435%
Multiplan/Claritev-All Plans $92 1913%
Three Rivers Ip/Op Only-All Plans $92 1913%
Ppo Next Ip/Op Only-All Plans $104 2162%
Kaiser Mcr Pediatric Ip/Op Only $115 2391%
Medicare (plans) $115 2391%
Hpn Comm Ip/Op Only-All Other Plans $163 3389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals