CMS Price Transparency Data

Blood test, sodium

Facility: Henry Ford Macomb Hospital

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 Henry Ford Macomb Hospital 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 15855 Nineteen Mile Rd, Clinton Township, MI.
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
Hap $2 - $10 42%
Aetna $3 - $16 62%
Blue Cross Blue Shield $3 - $5 62%
Mclaren $3 62%
Meridian Health Plan Of Mi $3 - $6 62%
Molina $3 - $6 62%
Priority Health $3 - $17 62%
Humana $4 - $5 83%
Bcn $5 104%
Cca Health Michigan $5 104%
Hap Caresource $5 104%
Mclaren Health $5 - $16 104%
Molina Mi Health Link $5 104%
Mount Carmel Health Plan $5 104%
Pace Of Se Mi $5 104%
UnitedHealthcare $5 - $6 104%
Wellcare $5 104%
Cofinity Group Health $11 - $18 229%
Vitalcore Physicians Group Of Mi $15 312%
Multiplan, Inc. $20 416%
Cigna $24 499%
University Of Michigan $24 499%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals