CMS Price Transparency Data

Blood test, sodium

Facility: Munson Healthcare Grayling Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Munson Healthcare Grayling Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $32 (665%)
Insurance Median: $8 (166%)
Cash: $32 (665% of Medicare)
Ins. Median: $8 (166% 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
Blue Cross Blue Shield $1 - $3 21%
Mclaren Health Plan $3 - $21 62%
Meridian $3 62%
Molina $3 - $5 62%
Priority Health $3 - $21 62%
UnitedHealthcare $3 - $23 62%
Aetna $5 - $29 104%
Atrium King Centre Skilled Nursing Services $5 104%
Blue Care Network $5 104%
Cigna $5 - $21 104%
Cofinity $5 - $30 104%
Hap (Health Alliance Plan) $5 - $30 104%
Humana $5 104%
Medicare (plans) $5 104%
Michigan Amish Medical Board $5 104%
Northern Michigan Mennonite Group $5 104%
Promedica $5 104%
Wellcare (Meridian) $5 104%
Wellspring Lutheran Services Skilling Nursing Services $5 104%
Employee Benefits Logistics $8 166%
Hospice Of Michigan $23 478%
Munson Hospice $27 - $852 561%
Asr/Physicians Care $30 624%
Medical Cost Savings Solution $30 624%
Nomi Health $30 624%
The Robbins Group And Regency Employee Benefits $30 624%
Wds Enterprise Group Planning $30 624%
First Health/Coventry Network $32 665%
Provider Network Of America Group Health $32 665%
Three Rivers Provider Network $32 665%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals