CMS Price Transparency Data

Blood test, sodium

Facility: Baptist Medical Center - Nassau

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $12
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 2.49x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Baptist Medical Center - Nassau is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.49x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $19 (395%)
Insurance Median: $12 (249%)
Cash: $19 (395% of Medicare)
Ins. Median: $12 (249% 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 249% of the Medicare baseline (a markup of 149%). 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.

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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%
Daniel Memorial $3 62%
Florida Community Care $3 - $5 62%
Humana $3 62%
Molina Healthcare Of Florida $3 62%
Nassaua County Sheriff'S Office $3 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%
Community Hospice Of Northeast Florida $5 104%
Devoted $5 104%
Pace $5 104%
Tomorrow'S Rainbow $5 104%
UnitedHealthcare $5 - $15 104%
Upmc $5 104%
Va Ccn $5 104%
Blue Cross Blue Shield $9 - $20 187%
Avmed $10 - $22 208%
Ambetter / Centene $12 249%
Borland Groover $12 249%
Occunet $12 249%
Centivo $13 - $26 270%
Northeast Florida State Hospital $13 270%
Capital Health Plan $14 291%
Geo Group $15 312%
Watchtower $16 333%
Fscj Student Insurance $18 374%
Savannah Grand Of Amelia Island $18 374%
Cigna $19 - $23 395%
Suddath Company $19 395%
Medicaid / KanCare $20 416%
Peach State Health Plan $20 416%
Phcs $22 457%
Evolutions Healthcare $27 561%
Multiplan $27 561%
Corvel $29 603%
Coventry Workers Comp $29 603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals