CMS Price Transparency Data

Blood test, sodium

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $10
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Baptist Health Medical Center - Jacksonville is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$20

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: $20 (416%)
Insurance Median: $10 (208%)
Cash: $20 (416% 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
Aetna $3 - $24 62%
Amerigroup Of Georgia $3 62%
Amerihealth Caritas $3 62%
Caresource Of Georgia $3 - $20 62%
Daniel Memorial $3 62%
Florida Community Care $3 - $5 62%
Humana $3 62%
Molina Healthcare Of Florida $3 62%
Peach State Health Plan $3 - $20 62%
Simply Healthcare Plans $3 62%
Simply Healthcare Plans - Cha $3 62%
Sunshine State Health Plan $3 62%
United Community Plan $3 62%
Vivida Health $3 62%
Non-Contracted $4 - $6 83%
Community Hospice Of Northeast Florida $5 104%
Devoted $5 104%
Pace $5 104%
Tomorrow'S Rainbow $5 104%
UnitedHealthcare $5 - $16 104%
Upmc $5 104%
Va Ccn $5 104%
Blue Cross Blue Shield $6 - $20 125%
Corvel $6 - $29 125%
Coventry Workers Comp $6 - $29 125%
Avmed $10 - $16 208%
Ambetter / Centene $12 249%
Borland Groover $12 249%
Cigna $12 - $18 249%
Occunet $12 - $15 249%
Centivo $13 - $26 270%
Northeast Florida State Hospital $13 - $14 270%
Capital Health Plan $14 291%
Innovative Healthware Services $14 291%
Geo Group $15 312%
Volusia Health Network $16 333%
Watchtower $16 333%
Fscj Student Insurance $18 374%
Suddath Company $19 395%
Medicaid / KanCare $20 416%
Uf Health Proton Therapy Institute $21 437%
Phcs $22 - $24 457%
Evolutions Healthcare $27 561%
Multiplan $27 561%
United Behavioral Health $517 10748%
Nemours Research $983 20437%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals