CMS Price Transparency Data

Blood test, sodium

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $95
Cash Discount Price: $89
vs. Medicare Baseline: 19.75x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Martin Luther King, Jr. Community Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 19.75x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $89 (1850%)

Insurance Median: $95 (1975%)

Cash: $89 (1850% of Medicare)

Ins. Median: $95 (1975% 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 1975% of the Medicare baseline (a markup of 1875%). 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
Preferred Professional Medical Corporation (Ipa) Of California	$3	62%
Alta	$4 - $5	83%
Brand New Day	$4 - $415	83%
Care1St Health	$4 - $5	83%
Molina Healthcare	$4 - $6	83%
Health Net	$5 - $207	104%
Heritage Provider Network (Hpn)	$5	104%
La Care Health	$6	125%
La Care Health Pasc-Seui	$6	125%
La Care Health Plan	$6	125%
UnitedHealthcare	$7	146%
Santa Monica Unite Here	$14	291%
Blue Shield Of California	$130 - $314	2703%
Multiplan	$253 - $553	5260%

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 $89.
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 Martin Luther King, Jr. Community 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.