CMS Price Transparency Data

Blood test, sodium

Facility: Ascension St Vincent's St Johns County

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Ascension St Vincent's St Johns County is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 205 Trinity Way, St. Johns, FL.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $7 (146%)
Insurance Median: $5 (104%)
Cash: $7 (146% of Medicare)
Ins. Median: $5 (104% 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
Aetna $4 - $10 83%
Cigna $4 - $7 83%
Bc Advantage Mcr Replacement $5 104%
Blue Cross Blue Shield $5 104%
Careplus Mcr Replacement $5 104%
Community Hospice $5 104%
Haven Hospice $5 104%
Humana $5 - $12 104%
Medicare (plans) $5 104%
Pace Place $5 104%
Research Study Encore Borland-Groover $5 104%
UnitedHealthcare $5 104%
Veterans Administration $5 104%
Wellcare $5 104%
Smarthealth $7 146%
Employer Direct Healthcare $8 166%
Oscar Health Plan $8 166%
90 Degree Benefits $9 187%
Ambetter / Centene $9 187%
Avmed Exchange $9 187%
Molina Exchange $9 187%
Occunet $9 - $18 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 Trinity Way, St. Johns, FL 32259
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals