CMS Price Transparency Data

Blood test, sodium

Facility: Adventist Health Tehachapi Valley

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Adventist Health Tehachapi Valley is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $39 (811%)
Insurance Median: $6 (125%)
Cash: $39 (811% of Medicare)
Ins. Median: $6 (125% 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
Blue Shield Epn- All Other Plans $1 - $60 21%
Kaiser Ip/Op Only- All Other Plans $1 - $47 21%
Western Grwrs/Pinnacle - All Plans $1 - $60 21%
Ah Employee Health Plan - All Plans $2 - $76 42%
Blue Cross Blue Shield $2 - $82 42%
Blue Shield Non-Epn $2 - $72 42%
Centivo - All Plans $2 - $61 42%
Klhp-Kern Legacy Epo -All Other Plans $2 - $72 42%
UnitedHealthcare $2 - $70 42%
Cigna $3 - $112 62%
Coventry- All Plans $3 - $129 62%
Healthnet- All Other Plans $3 - $110 62%
Bc Mcal $4 - $5 83%
Healthnet Medi-Cal $4 - $6 83%
Kaiser Medi-Cal Ip/Op Only $4 - $5 83%
Khs-Kern Hlth Systm Mcal $4 - $6 83%
Medi-Cal $4 - $5 83%
Universal Ipa Mcal Op/Profee Only $4 - $5 83%
Oscar Health Plan- All Plans $8 166%
Healthnet Mcare $27 561%
Medicare (plans) $27 561%
Tricare $27 561%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $27 561%
Aetna $28 582%
Network Providers- All Plans $35 728%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals