CMS Price Transparency Data

Blood test, sodium

Facility: Yuma District Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $84
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 17.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Yuma District Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 17.46x the Medicare baseline. Located in 1000 W 8Th Ave, Yuma, CO.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $70 (1455%)
Insurance Median: $84 (1746%)
Cash: $70 (1455% of Medicare)
Ins. Median: $84 (1746% 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 1746% of the Medicare baseline (a markup of 1646%). 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
Aetna $51 - $86 1060%
Blue Cross Blue Shield $51 - $80 1060%
Corvel___Plan_ $70 1455%
Friday_Health_Plan___Plan_ $79 1642%
Medicare (plans) $79 1642%
Rocky_Mountain_Health_Plan___Plan_ $79 1642%
Triwest___Plan_ $79 1642%
Medrisk_Preferred___Plan_ $84 1746%
Three_Rivers___Plan_ $84 1746%
United_Healthcare___Plan_ $86 1788%
Cigna $88 1830%
Cofinity_Preferred___Plan_ $88 1830%
Uc_Health_Plan___Plan_ $88 1830%
Humana $90 1871%
Midlands_Choice___Plan_ $90 1871%
Multiplan_Open_Access___Plan_ $90 1871%
Multiplan_Ppo___Plan_ $90 1871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 W 8Th Ave, Yuma, CO 80759
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals