CMS Price Transparency Data
Blood test, sodium
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 84295 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84295
- Insurance Median: $18
- Cash Discount Price: $96
- vs. Medicare Baseline: 3.74x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at AHMC Anaheim Regional Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 3.74x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$96
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
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: $96 (1996%)
Insurance Median: $18 (374%)
Cash: $96 (1996% of Medicare)
Ins. Median: $18 (374% 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 374% of the Medicare baseline (a markup of 274%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Administration | $3 | 62% |
| Affiliated Doctors Of Orange County | $4 | 83% |
| Ahmc Reciprocity Agreement | $4 - $45 | 83% |
| Allied Physicians | $4 - $7 | 83% |
| Alta Los Angeles Hospital | $4 | 83% |
| Altamed Health Network | $4 - $5 | 83% |
| Applecare Medical Group | $4 | 83% |
| Beverly Hospital | $4 - $5 | 83% |
| Brand New Day | $4 - $6 | 83% |
| Health Net | $4 | 83% |
| Healthcare Partners | $4 - $5 | 83% |
| Healthy Way La | $4 | 83% |
| Heritage Provider Network | $4 - $6 | 83% |
| Kaiser Foundation Hospitals | $4 - $5 | 83% |
| Medical Safety Net Program | $4 | 83% |
| Non Contracted Medi-Cal | $4 | 83% |
| Prospect Health Plan | $4 - $6 | 83% |
| Prospect Medical Group | $4 | 83% |
| Talbert Medical Group | $4 - $5 | 83% |
| Aetna | $5 - $26 | 104% |
| Aids Health Foundation | $5 | 104% |
| Align Senior Care | $5 | 104% |
| Alignment Health Plan | $5 | 104% |
| Angels Baseball Workers Comp | $5 | 104% |
| Apa Aco Inc | $5 | 104% |
| Avanti | $5 - $6 | 104% |
| Blue Cross Blue Shield | $5 - $18 | 104% |
| Blue Shield Of California | $5 - $65 | 104% |
| California Health Plan | $5 | 104% |
| Caloptima | $5 - $6 | 104% |
| Central Health Of California | $5 | 104% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $5 | 104% |
| Davita Heatlhcare Partners Plan Inc | $5 - $81 | 104% |
| Emanate Health | $5 - $6 | 104% |
| Health Net Inc | $5 - $115 | 104% |
| Healthnet | $5 | 104% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $5 | 104% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $5 | 104% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 104% |
| Humana | $5 | 104% |
| Innovative Integrated Health (Iih)/Orange County Pace | $5 | 104% |
| Interplan | $5 - $105 | 104% |
| Medi-Cal | $5 | 104% |
| Medicare (plans) | $5 - $75 | 104% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $5 | 104% |
| Monarch Health Plan | $5 - $102 | 104% |
| Nchp | $5 | 104% |
| Pacificare | $5 | 104% |
| Private Pay Flat Rate | $5 | 104% |
| Scan Health Plan | $5 | 104% |
| Self-Pay | $5 | 104% |
| Seoul Medical Group | $5 | 104% |
| Tricare | $5 | 104% |
| Wellcare | $5 | 104% |
| Ahmc Health Self-Insurance Epo | $6 | 125% |
| Athens Administrators | $6 | 125% |
| Capp Care | $6 - $112 | 125% |
| Cigna | $6 | 125% |
| Corvel | $6 - $112 | 125% |
| First Health | $6 - $128 | 125% |
| Knox-Keene Act | $6 | 125% |
| Marriot Intl | $6 | 125% |
| Non Contracted Workers Comp | $6 | 125% |
| Orange County Preferred Provider Organization | $6 - $112 | 125% |
| UnitedHealthcare | $10 - $19 | 208% |
| Monarch Healthcare Medical Group | $12 | 249% |
| Netcare Life And Health Insurance | $15 - $38 | 312% |
| Advance Clinical Research Institute | $18 - $45 | 374% |
| Memorial Healthcare Ipa | $18 - $45 | 374% |
| Medical Acquisition Company | $24 - $60 | 499% |
| Healthcare Partners Commercial | $32 - $81 | 665% |
| Huntington Memorial Hospital | $32 - $81 | 665% |
| Genesis Healthcare Ipa Ancillary | $35 - $90 | 728% |
| Affiliated Health Fund | $41 - $105 | 852% |
| Allnet Preferred Provider | $41 - $105 | 852% |
| Care First | $41 - $105 | 852% |
| Private Healthcare Systems | $41 - $105 | 852% |
| Choicecare | $44 - $112 | 915% |
| Multiplan Inc | $44 - $112 | 915% |
| National Provider Network | $47 - $120 | 977% |
| Three Rivers Providers Network | $47 - $120 | 977% |
| Msi/Medical Services For Indigents | $52 | 1081% |
| Health Payors Organization | $53 - $135 | 1102% |
| Non Contracted Commercial | $59 - $150 | 1227% |