CMS Price Transparency Data

Blood test, sodium

Facility: Adventist Health Lodi Memorial

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Adventist Health Lodi Memorial is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$23

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: $23 (478%)
Insurance Median: $5 (104%)
Cash: $23 (478% 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
Bc Mcal $1 21%
Blue Shield Epn - All Other Plans $1 - $189 21%
Blue Shield Non-Epn $1 - $196 21%
Kaiser Commercial - All Other Plans $1 - $239 21%
Medcore(Omni Ipa) Op Only- All Plans $1 - $151 21%
UnitedHealthcare $1 - $242 21%
Healthnet- All Other Plans $2 - $286 42%
Networks By Design- All Plans $2 - $291 42%
Beech Street- All Plans $3 - $524 62%
Cigna $3 - $524 62%
First Health- All Plans $3 - $477 62%
Hp Of San Joaquin Ppo - All Other Plans $3 - $553 62%
Multiplan- All Plans $3 - $466 62%
Three Rivers Provider Network- All Plans $3 - $524 62%
Western Growers- All Plans $3 - $524 62%
Celtic Ins Company - All Plans $4 - $6 83%
Healthnet Mcal $4 - $7 83%
Hp Of San Joaquin Mcal $4 - $6 83%
Kaiser Mcal $4 - $5 83%
Medi-Cal $4 - $5 83%
Alignment Health Plan (Ahp)-All Plans $5 104%
Blue Shield Mcare Adv $5 104%
Cca Health Plan Mcr Adv- All Plans $5 104%
Healthnet Mcare $5 104%
Hp Of San Joaquin Mcr Adv $5 104%
Humana $5 104%
Kaiser Mcr Adv $5 104%
Tricare $5 104%
Knnex Health - All Plans $6 125%
Ah Employee Health Plan - All Plans $9 187%
Bright Health - All Plans $10 208%
Aetna $16 333%
Blue Cross Blue Shield $47 - $53 977%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals