CMS Price Transparency Data

Blood test, sodium

Facility: Tristar Greenview Regional Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $567
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Tristar Greenview Regional Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $567. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$567

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $567 (11788%)
Insurance Median: $6 (125%)
Cash: $567 (11788% of Medicare)
Ins. Median: $6 (125% 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 $5 104%
Blue Cross Blue Shield $5 - $177 104%
Coventry Cares $5 104%
Devoted Health $5 104%
Horizon Pace $5 104%
Humana $5 - $149 104%
Molina $5 104%
Sarah Cannon Research $5 104%
United $5 - $255 104%
Va Ccn $5 104%
Wellcare $5 - $6 104%
Prime Health $91 1892%
Signature Advantage $108 2245%
Cigna $169 3514%
Cdm Health $278 5780%
Southern Kentucky Rehab $425 8836%
Occupational Mc Alliance $454 9439%
Tim Davis And Associates $454 9439%
Up And Up $454 9439%
Fortified Provider Network $511 10624%
Multiplan $511 10624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals