CMS Price Transparency Data

Blood test, sodium

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $208
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 43.24x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Hazel Hawkins Memorial Hospital is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 43.24x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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%)
Insurance Median: $208 (4324%)
Ins. Median: $208 (4324% 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 4324% of the Medicare baseline (a markup of 4224%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 Cross Blue Shield $5 - $244 104%
Kaiser Mcal $5 104%
Medi-Cal $5 104%
Tricare $5 104%
Triwest - All Plans $5 104%
Valley Hp Mcal $5 104%
Ccah Mcal - All Plans $8 166%
UnitedHealthcare $12 - $183 249%
Blue Shield Mcare $46 956%
Caremore Med Adv - All Plans $46 956%
Kaiser Med Adv $46 956%
Central Hp Med Adv $49 1019%
Valley Hp Covered Ca $128 2661%
Valley Hp Preferred $128 2661%
Kaiser Comm - All Other Plans $144 2994%
Blue Shield Of Ca - All Other Plans $148 3077%
Valley Hp Classic - All Other Plans $154 3202%
Beech Street Corp Ppo - All Plans $208 4324%
Cigna $208 4324%
Corvel Ppo - All Plans $208 4324%
First Health Ppo - All Plans $208 4324%
Great West Ppo - All Plans $208 4324%
Nx Health Network - All Plans $208 4324%
Interplan Ppo - All Plans $215 4470%
Bce Emergis/Multi Ppo - All Plans $220 4574%
Healthnet Hmo $220 4574%
Healthnet Ppo - All Other Plans $220 4574%
Metracomp Wc Ppo - All Plans $220 4574%
One Hp Ppo - All Plans $220 4574%
Admar Ppo - All Plans $222 4615%
Pacific Hlth Alliance - All Plans $225 4678%
Ccn Ppo - All Other Plans $232 4823%
Choicecare Ppo/Hmo - All Plans $232 4823%
Coastal Hlthcre Ppo/Hmo - All Plans $232 4823%
Ccn (W/C) $244 5073%
Central Coast Ppo - All Other Plans $244 5073%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals