CMS Price Transparency Data

Blood test, sodium

Facility: Adventist Health Twin Cities

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $84
Cash Discount Price: $3
vs. Medicare Baseline: 17.46x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Adventist Health Twin Cities is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 17.46x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $3 (62%)

Insurance Median: $84 (1746%)

Cash: $3 (62% of Medicare)

Ins. Median: $84 (1746% 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 1746% of the Medicare baseline (a markup of 1646%). 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
Aetna	$5	104%
Cencal Mcr Adv - All Other Plans	$5	104%
Tricare	$5	104%
UnitedHealthcare	$5 - $85	104%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans	$6	125%
Ah Employee Health Plan - All Plans	$9	187%
Hpn-Heritage Prov Ntwrk-All Plans	$14	291%
Blue Shield Hmo/Pos	$17	353%
Blue Shield Epo/Ppo - All Other Plans	$20	416%
Nbd-Ntwrks By Design Non-Exlus	$24	499%
Blue Shield Epn	$90	1871%
Chn-Community Hlth Ntwrk-All Plans	$138	2869%
Nbd-Ntwrks By Design Exlus-All Other Plans	$145	3015%
Pacific Health Alliance-All Plans	$226	4699%
Medi-Cal	$251	5218%
Cencal Mcal	$286	5946%
Blue Shield Promise Mcal	$302	6279%
Ccah-Centrl Ca Allince Mcal-All Plans	$326	6778%
Coalinga-All Plans	$326	6778%

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 $3.
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 Twin Cities 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.