CMS Price Transparency Data
Blood test, sodium
Facility: Penobscot Valley Hospital
Billing Code: 84295 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$20
about 4.0× the $5 Medicare rate · typically $11–$34
modeled estimate · not a bill or quote
Medicare pays $5 Fair price $20 Cash price $56 Hospital's list price $70
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $32 - $56 | 665% |
| Blue Cross Blue Shieldmajor | $33 - $52 | 686% |
| Aetnamajor | $33 - $67 | 686% |
| Cignamajor | $66 | 1372% |
| Humanamajor | $33 | 686% |
| Harvard Pilgrim | $67 | 1393% |
| WellCare | $33 | 686% |
Government programs also on file: Medicare.
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Other Procedures at Penobscot Valley Hospital
Compare: Blood test, sodium at other ME hospitals
- Mainehealth Mid Coast Hospital · Brunswick $5
- Central Maine Medical Center · Lewiston $5
- Cary Medical Center · Caribou $5
- Mainehealth Pen Bay Hospital · Rockport $5
- Mainehealth Maine Medical Center · Portland $6
- Lincolnhealth · Damariscotta $6
- Mainehealth Stephens Hospital · Norway $6
- Mainehealth Franklin Hospital · Farmington $6
Insurance negotiated median for the same procedure, sorted lowest first.