CMS Price Transparency Data

Blood test, sodium

Facility: Garrett Regional Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Garrett Regional Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $5 (104%)
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 - $11 83%
Alliance Coal $4 - $11 83%
American Correctional Healthcare $4 - $11 83%
Amerigroup $4 - $10 83%
Carefirst Commercial $4 - $11 83%
Carefirst Community Health Plan $4 - $10 83%
Carefirst D-Snp $4 - $10 83%
Carefirst Ppo $4 - $10 83%
Caresource Wv $4 - $10 83%
Cigna $4 - $11 83%
Coventry $4 - $10 83%
First Health $4 - $11 83%
Highmark Health Options Wv $4 - $10 83%
Humana $4 - $10 83%
John Hopkins Healthcare $4 - $11 83%
Maryland Physicians Care $4 - $10 83%
Medicare (plans) $4 - $10 83%
Multiplan $4 - $10 83%
Peak Commercial $4 - $11 83%
Provider Partners $4 - $10 83%
Senior Advantage $4 - $10 83%
Stratose/ 4 Most $4 - $11 83%
The Health Plan $4 - $11 83%
The Health Plan Commercial $4 - $11 83%
The Health Plan Of Wv $4 - $10 83%
United Mine Workers Of America $4 - $11 83%
UnitedHealthcare $4 - $11 83%
Upmc Commercial $4 - $11 83%
Wellpoint Wv $4 - $10 83%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 251 North Fourth Street, Oakland, MD 21550
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals