CMS Price Transparency Data

Blood test, sodium

Facility: Loma Linda University Children's Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $46
Cash Discount Price: $41
vs. Medicare Baseline: 9.56x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Loma Linda University Children's Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 9.56x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $41 (852%)

Insurance Median: $46 (956%)

Cash: $41 (852% of Medicare)

Ins. Median: $46 (956% 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 956% of the Medicare baseline (a markup of 856%). 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
Adventist Health	$3 - $24	62%
Lluh Dept Of Risk Management	$4 - $29	83%
UnitedHealthcare	$4	83%
Alpha Care Medical Group	$5 - $7	104%
Dignity Health	$5 - $7	104%
Epic Health Plan	$5 - $49	104%
Inland Empire Health Plan (Iehp)	$5 - $6	104%
Kaiser Foundation Hospitals	$5 - $81	104%
Upland Medical Group	$5	104%
Vantage Medical Group	$5 - $7	104%
Molina Healthcare Of Ca	$6	125%
Blue Shield Of California	$7 - $82	146%
Heritage Provider Network	$8	166%
Global Benefits Group	$9 - $73	187%
Temecula Valley Physicians Medical Group	$9 - $73	187%
Trivalley Medical Group	$9 - $73	187%
Aetna	$10 - $80	208%
Cigna	$10 - $90	208%
Networks By Design	$10 - $79	208%
Multiplan	$12 - $98	249%
Galaxy Health	$13 - $104	270%
Prime Health Services	$13 - $104	270%
Blue Cross Blue Shield	$47	977%

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 $41.
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 Loma Linda University Children's Hospital 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.