CMS Price Transparency Data

Blood test, sodium

Facility: Trinity Health Ann Arbor Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $25
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 5.20x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Trinity Health Ann Arbor Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 5.20x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$205

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $205 (4262%)
Insurance Median: $25 (520%)
Cash: $205 (4262% of Medicare)
Ins. Median: $25 (520% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 520% of the Medicare baseline (a markup of 420%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
U Of M Health Plan $2 42%
Blue Cross Blue Shield $3 - $85 62%
Medicaid / KanCare $3 - $50 62%
Aetna $5 - $85 104%
Align Senior Care $5 - $87 104%
Angela Hospice $5 - $87 104%
Blue Care Network Advantage $5 - $85 104%
Cca - Zing Health $5 - $92 104%
Hospice Advantage $5 - $87 104%
Huron Valley Pace $5 - $83 104%
Longevity Ipa Of Michigan Llc Health Plan Isnp $5 - $98 104%
Medicare (plans) $5 - $87 104%
UnitedHealthcare $5 - $90 104%
Molina Marketplace $6 - $113 125%
Geha $7 - $23 146%
Health Cost Solutions $7 - $135 146%
Meritain $7 146%
Vitalcore $7 - $135 146%
Wellpath $7 - $135 146%
Point Comfort Underwriters $8 166%
Wc Accident Fund $9 187%
Wc Advantage $9 187%
Wc Aig $9 187%
Wc Allied $9 187%
Wc Amerisure $9 187%
Wc Amtrust $9 187%
Wc Asu Risk Mgt $9 187%
Wc Berkley Admin $9 187%
Wc Broadspire $9 187%
Wc Bunch & Associates $9 187%
Wc Ccmsi $9 187%
Wc Emc Insurance Company $9 187%
Wc Esis $9 187%
Wc Fcci $9 187%
Wc Federated $9 187%
Wc Gallagher Bassett $9 187%
Wc Genex Care For Ohio $9 187%
Wc Guard Insurance Company $9 187%
Wc Hartford $9 187%
Wc Liberty Mutual $9 187%
Wc Meijers $9 187%
Wc Michigan $9 187%
Wc Mitchell Frankenmuth $9 187%
Wc Pma $9 187%
Wc Sedgwick $9 187%
Wc Sentry $9 187%
Wc Travelers $9 187%
Wc Tristar $9 187%
Wc Walmart $9 187%
Wc Zurich $9 187%
Employee Benefit Logistic $11 229%
Priority Health $11 - $12 229%
Acs Benefit Services $15 312%
Allied Benefit Systems $15 312%
Asr Health Benefits $15 312%
Caresource $15 312%
Claimchoice Adminstrators $15 312%
Consociate $15 312%
Cypress Benefit Administrators $15 312%
Forest County Potawatomi $15 312%
Hap $15 - $25 312%
Health Smart $15 312%
Healthgram $15 312%
Healthscope $15 312%
Secureone Preferred United Plans $15 312%
Sisco Benefits $15 312%
The Health Plan $15 312%
Trustmark Small Business Benefits $15 312%
Unified Group Services $15 312%
Varipro $15 312%
Webtpa $15 312%
1199 National Benefit Fund $25 520%
Access Health $25 520%
Acclaim $25 520%
Administrative Concepts $25 520%
Allegeant $25 520%
Allied National Global Care $25 520%
Ameriben $25 520%
American Family $25 520%
American Healthcare Alliance $25 520%
American National $25 520%
American Republic $25 520%
Amerihealth $25 520%
Asrm - Reliance Standard Life Insurance $25 520%
Aultcare $25 520%
Automated Benefit Services $25 520%
Auxiant $25 520%
Benefit Administrative Systems,Llc $25 520%
Boon Chapman $25 520%
Cam Administrative Services $25 520%
Christian Brother Services $25 520%
Christian Brothers Holy Cross $25 520%
Christian Care Ministry $25 520%
Cigna $25 520%
Comprehensive Benefits $25 520%
Continental Life Insurance $25 520%
Coventry $25 520%
Custom Benefit Administrators $25 520%
Dean Health $25 520%
Employee Benefit Concepts $25 520%
Employee Benefit Management $25 520%
Enterprise Group Planning $25 520%
Fallon Health $25 520%
Family Life Insurance Company $25 520%
First Health $25 520%
Freedom Life Insurance Company $25 520%
Ghc Scw $25 520%
Group Administrators $25 520%
Group Marketing Services $25 520%
Group Pension Administrators $25 520%
Guardian $25 520%
Health America $25 520%
Health Choices $25 520%
Health Partners $25 520%
Healthcare Management Admin $25 520%
Healthez $25 520%
Humana $25 520%
Insight $25 520%
Intercare $25 520%
International Benefit Administrators $25 520%
Jfp Benefit Management $25 520%
Jp Farley Corporation $25 520%
Key Benefit Administrator $25 520%
Liberty Union Life Assurance Co $25 520%
Lifetime Benefit Solutions $25 520%
Lucent Health $25 520%
Luminare Health $25 520%
Luminare Health (Detroit) $25 520%
Magnacare $25 520%
Manhattan Life $25 520%
Medben $25 520%
Medcost $25 520%
Medi Share $25 520%
Medical Mutual $25 520%
Multiplan $25 520%
Mutual Health Services $25 520%
Mutual Of Omaha $25 520%
Mvp $25 520%
Ncas $25 520%
Nippon Life Ins $25 520%
Nova $25 520%
Pai $25 520%
Painters Union Insurance Fund $25 520%
Pan-American Life $25 520%
Paramount Hmo $25 520%
Phcs $25 520%
Physicians Mutual $25 520%
Plumbers Local 98 Insurance Fund $25 520%
Prairie States $25 520%
Preferred One $25 520%
Primary Physician Care $25 520%
Professional Benefit Administrators $25 520%
Siho Insurance Services $25 520%
The Loomis Company $25 520%
Trinity Health Share $25 520%
Tufts Health Plan $25 520%
Unicare $25 520%
Us Health And Life $25 520%
Valenz $25 520%
Western & Southern Financial Group $25 520%
Wps $25 520%
Prime Health Services $26 541%
Correctional Healthcare Consultants $29 603%
Three Rivers Provider Network $29 603%
Bcccp-Michigan $32 665%
Cmh Detroit Wayne Integrated Health Network $32 665%
Cmh Lenawee County $32 665%
Cmh Livingston County $32 665%
Cmh Misc $32 665%
Cmh Monroe County $32 665%
Cmh Washtenaw County $32 665%
Crime Victim Assistance $32 665%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 E Huron River Dr, Ann Arbor, MI 48106
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals