CMS Price Transparency Data

Blood test, sodium

Facility: Athur M Blank Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $117
Cash Discount Price: $164
vs. Medicare Baseline: 24.32x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Athur M Blank Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 24.32x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $164 (3410%)

Insurance Median: $117 (2432%)

Cash: $164 (3410% of Medicare)

Ins. Median: $117 (2432% 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 2432% of the Medicare baseline (a markup of 2332%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource [61]	$7	146%
Peachstate [43]	$7	146%
Amerigroup [102]	$8	166%
Blue Cross Blue Shield	$83 - $197	1726%
Cigna	$83 - $134	1726%
United [5]	$83 - $134	1726%
Aetna	$84 - $136	1746%
Ambetter / Centene	$84 - $135	1746%
Oscar [228]	$84 - $135	1746%
Caresource Marketplace Bronze/Silver/Gold [60]	$85 - $137	1767%
Kaiser [6]	$85 - $138	1767%
Sidecar Health [236]	$86 - $139	1788%
Coventry [9]	$88 - $142	1830%
Direct Employer Agreements [72]	$88 - $172	1830%
First Health [74]	$94 - $152	1954%
Northeast Georgia Heatlh System [808]	$94 - $152	1954%
Veracity Benefits [809]	$94 - $152	1954%
Phcs [93]	$106 - $172	2204%
Secure Health [340]	$106 - $172	2204%
Beech Street [71]	$112 - $182	2328%
Multiplan [92]	$122 - $198	2536%
Novanet [41]	$125 - $202	2599%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $164.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Athur M Blank Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.