CMS Price Transparency Data

Blood test, sodium

Facility: Banner Fort Collins Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $10
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Banner Fort Collins Medical Center is $10. 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 2.08x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $10 (208%)
Cash: $3 (62% of Medicare)
Ins. Median: $10 (208% 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 208% of the Medicare baseline (a markup of 108%). 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 - $10 104%
Cigna $5 104%
Clear Spring Health $5 104%
Devoted Health Services $5 104%
Healthspring Life & Health Insurance Company, Inc. $5 104%
Humana $5 104%
Longevity $5 104%
Medica $5 - $12 104%
Medicare (plans) $5 104%
UnitedHealthcare $5 - $12 104%
Assist Health Group $6 125%
Banner Health $6 125%
Pinnacol Assurance Workers Comp $8 166%
Denver Health Medical Plan $9 187%
Hue Health, Inc $10 - $12 208%
Centivo $12 249%
Aetna $13 270%
Apostrophe, Inc. $13 270%
Decent Health $13 270%
Rocky Mountain Health Plans $13 270%
First Choice Health Network $14 291%
First Choice Of The Midwest $14 291%
Multiplan $14 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals