CMS Price Transparency Data

Blood test, sodium

Facility: Baptist Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Baptist Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $6 (125%)
Insurance Median: $9 (187%)
Cash: $6 (125% of Medicare)
Ins. Median: $9 (187% 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.

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
UnitedHealthcare $1 - $5 21%
Pensacola $2 - $9 42%
Aetna $3 - $45 62%
Cha Health Plan $3 62%
Fl Community Care Ltc $3 62%
Humana $3 - $5 62%
Mh Sunshine Mcaid $3 62%
Simply Healthcare Healthy Kids $3 62%
Staywell $3 62%
Sunshine Health $3 62%
Hospice Regency $4 - $19 83%
Healthspring Of Fl Al $5 104%
Hospice Covenant $5 104%
Medicare (plans) $5 104%
Mh Wellcare $5 104%
Wellcare $5 104%
Cigna $7 - $62 146%
Fl Blue $7 - $426 146%
Hospice Emerald Coast $7 - $31 146%
Escambia $8 - $37 166%
Private Healthcare $9 - $40 187%
Uwf Athletes $9 - $40 187%
Choicecare $10 - $46 208%
First Health $10 - $43 208%
Mh Choicecare $10 - $46 208%
Multiplan $12 - $55 249%
Wc Corvel $13 - $59 270%
Bc Fl $305 6341%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals