CMS Price Transparency Data

Blood test, sodium

Facility: Gulf Breeze Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Gulf Breeze Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.
Cash / Self-Pay
$9

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: $9 (187%)
Insurance Median: $9 (187%)
Cash: $9 (187% 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%
Aetna $3 - $45 62%
Cha Health Plan $3 62%
Fl Community Care Ltc $3 62%
Humana $3 - $5 62%
Simply Healthcare Healthy Kids $3 62%
Sunshine Health $3 62%
Wellcare $3 - $5 62%
Hospice Covenant $5 104%
Medicare (plans) $5 104%
Fl Blue $8 - $333 166%
Pensacola $9 187%
Hospice Regency $19 395%
Cigna $29 - $62 603%
Hospice Emerald Coast $31 644%
Wc Corvel $36 - $59 748%
Private Healthcare $40 832%
Uwf Athletes $40 832%
First Health $43 894%
Choicecare $46 956%
Multiplan $55 1143%
Bc Fl $208 4324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals