CMS Price Transparency Data

Blood test, sodium

Facility: Aspen Valley Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $76
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 15.80x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Aspen Valley Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 15.80x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $76 (1580%)
Insurance Median: $76 (1580%)
Cash: $76 (1580% of Medicare)
Ins. Median: $76 (1580% 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 1580% of the Medicare baseline (a markup of 1480%). 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 $41 - $76 852%
Blue Cross Blue Shield $41 - $70 852%
Humana $41 - $72 852%
Medicare (plans) $41 852%
Tricare $41 - $76 852%
UnitedHealthcare $41 - $76 852%
Veterans Administration [100068] $41 852%
Cigna $53 - $76 1102%
Allied Benefit Systems [100015] $72 1497%
Geha [100039] $72 1497%
Healthscope [100157] $72 1497%
Aarp [100007] $76 1580%
Aig Travel [100255] $76 1580%
Aig [700029] $76 1580%
Ameriben [100266] $76 1580%
American Republic [100018] $76 1580%
Amtrust North America [700042] $76 1580%
Axa Travel [100256] $76 1580%
Bankers Life Casualty [100022] $76 1580%
Broadspire [700043] $76 1580%
Bupa Global [100257] $76 1580%
Ccmsi [700017] $76 1580%
Champ Va [500001] $76 1580%
Chp [300053] $76 1580%
Chubb Services [700054] $76 1580%
Companion Life Pivot Health [100258] $76 1580%
Corvel [700058] $76 1580%
Employee Benefit Management [100033] $76 1580%
Equitable Life [100160] $76 1580%
Esis Work Comp [700010] $76 1580%
Freedom Life Insurance Company [100158] $76 1580%
Gallagher Bassett Work Comp [700013] $76 1580%
Generic Commercial [109999] $76 1580%
Generic Other [509999] $76 1580%
Generic Travel Insurance [109998] $76 1580%
Generic Workers' Comp [709999] $76 1580%
Gerber Life Insurance [100265] $76 1580%
Global Excel [100259] $76 1580%
Gmmi [100260] $76 1580%
Hartford Work Comp [700055] $76 1580%
Harvard Pilgrim Healthcare [100241] $76 1580%
Health Net [100261] $76 1580%
Imagine 360 [100043] $76 1580%
Kaiser Permanente [100254] $76 1580%
Liberty Healthshare [100262] $76 1580%
Liberty Mutual Work Comp [700016] $76 1580%
Marriott Claim [700056] $76 1580%
Medi Share [100263] $76 1580%
Medicaid / KanCare $76 1580%
Mutual Of Omaha [100074] $76 1580%
Owcp [700057] $76 1580%
Physicians Mutual [100075] $76 1580%
Pinnacol Assurance Wc [700059] $76 1580%
Relations Insurance Kaiser [800004] $76 1580%
Sedgwick [700027] $76 1580%
Sentinel Security Life [100264] $76 1580%
Skico Ortho Alternative Payer [100163] $76 1580%
Transamerica [100097] $76 1580%
Travelers Work Comp [700028] $76 1580%
Tufts Health Plan [100268] $76 1580%
United American Insurance [100119] $76 1580%
Usaa Life Insurance Company [100155] $76 1580%
Wea [100120] $76 1580%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals