CMS Price Transparency Data

Blood test, sodium

Facility: Glendale Adventist Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $31
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 6.44x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Glendale Adventist Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 6.44x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $24 (499%)
Insurance Median: $31 (644%)
Cash: $24 (499% of Medicare)
Ins. Median: $31 (644% 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 644% of the Medicare baseline (a markup of 544%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Bc Medi-Cal $1 21%
Blue Shield Epn - All Other Plans $1 - $158 21%
Blue Shield Non Epn $1 - $182 21%
UnitedHealthcare $1 - $204 21%
Caremore Mcr Adv - All Plans $2 - $245 42%
First Health- All Plans $2 - $249 42%
Healthcare Partners- All Plans $2 - $204 42%
Healthnet - All Other Plans $2 - $243 42%
Heritage Commercial - All Other Plans $2 - $228 42%
Heritage Sr $2 - $232 42%
La Care Mcr Adv- All Plans $2 - $236 42%
Phcs- All Plans $2 - $280 42%
Scan Mcr Adv - All Plans $2 - $280 42%
Western Growers/Pinnacle - All Plans $2 - $228 42%
Beech Street - All Plans $3 - $322 62%
Choicecare - All Plans $3 - $322 62%
Corvel- All Plans $3 - $344 62%
Employers Health Network - All Plans $3 - $21 62%
Health Mgmt Network - All Plans $3 - $366 62%
Kaiser - All Plans $3 - $366 62%
Phys Assoc Op Only- All Plans $3 - $21 62%
Three Rivers - All Plans $3 - $366 62%
Alignment Hp Mcr Adv - All Plans $4 - $430 83%
Blue Shield Medi-Cal $4 - $13 83%
Healthnet Mcal $4 - $6 83%
Heritage Mcal $4 - $5 83%
Medi-Cal $4 - $5 83%
Molina Mcal $4 - $5 83%
Blue Cross Blue Shield $5 - $53 104%
Blue Shield Mcr Adv $5 104%
Clever Care Mcr Adv - All Plans $5 104%
Healthnet Mcr Adv $5 - $611 104%
Molina Mcr $5 104%
Regal Med Group Mcal $5 104%
Tricare $5 104%
Dept Of State Hsp Metropolitan- All Plans $6 125%
Molina Exchange - All Other Plans $6 125%
Regal Medical Group Commercial - All Other Plans $6 125%
Ah Employee Health Plan - All Plans $9 187%
Centivo - All Plans $11 229%
Cigna $17 353%
Aetna $29 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals