CMS Price Transparency Data

Blood test, sodium

Facility: Community First Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Community First Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 5645 W Addison Street, Chicago, IL.
Cash / Self-Pay
$50

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: $50 (1040%)
Insurance Median: $9 (187%)
Cash: $50 (1040% 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
Humana $1 - $7 21%
Beacon Mcr Op Only - All Other Plans $5 104%
Blue Cross Blue Shield $5 - $36 104%
Harmony Mcr Adv - All Other Plans $5 104%
Meridian Mcr Adv - All Other Plans $5 104%
Molina Marketplace - All Other Plans $5 104%
Molina Mcr Adv $5 104%
Zing Hlth Mcr Adv - All Plans $5 104%
Aetna $6 - $106 125%
Beacon Mcaid Op Only $6 125%
Cchhs Mcaid $6 125%
County Care Mcaid - All Plans $6 125%
Harmony Mcaid $6 125%
Meridian Mcaid $6 125%
Molina Mcaid $6 125%
Cigna $9 - $73 187%
UnitedHealthcare $33 686%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5645 W Addison Street, Chicago, IL 60634
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals