CMS Price Transparency Data
Blood test, sodium
Facility: Chelsea Hospital
Billing Code: 84295 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 84295
- Insurance Median: $21
- Cash Discount Price: $21
- vs. Medicare Baseline: 4.37x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Chelsea Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 4.37x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$21
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: $21 (437%)
Insurance Median: $21 (437%)
Cash: $21 (437% of Medicare)
Ins. Median: $21 (437% 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 437% of the Medicare baseline (a markup of 337%). 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.
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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 - $5 | 62% |
| Medicaid / KanCare | $3 | 62% |
| Aetna | $5 - $15 | 104% |
| Align Senior Care | $5 | 104% |
| Angela Hospice | $5 | 104% |
| Arbor Hospice | $5 | 104% |
| Blue Care Network Advantage | $5 | 104% |
| Cca - Zing Health | $5 | 104% |
| Heartland Hospice | $5 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $5 | 104% |
| Medicare (plans) | $5 | 104% |
| UnitedHealthcare | $5 - $22 | 104% |
| Molina Marketplace | $6 | 125% |
| Geha | $7 - $22 | 146% |
| Health Cost Solutions | $7 | 146% |
| Meritain | $7 | 146% |
| Vitalcore | $7 | 146% |
| Wellpath | $7 | 146% |
| Wc Accident Fund | $8 | 166% |
| Wc Advantage | $8 | 166% |
| Wc Aig | $8 | 166% |
| Wc Allied | $8 | 166% |
| Wc Amerisure | $8 | 166% |
| Wc Amtrust | $8 | 166% |
| Wc Asu Risk Mgt | $8 | 166% |
| Wc Berkley Admin | $8 | 166% |
| Wc Broadspire | $8 | 166% |
| Wc Bunch & Associates | $8 | 166% |
| Wc Ccmsi | $8 | 166% |
| Wc Emc Insurance Company | $8 | 166% |
| Wc Esis | $8 | 166% |
| Wc Fcci | $8 | 166% |
| Wc Federated | $8 | 166% |
| Wc Gallagher Bassett | $8 | 166% |
| Wc Genex Care For Ohio | $8 | 166% |
| Wc Guard Insurance Company | $8 | 166% |
| Wc Hartford | $8 | 166% |
| Wc Liberty Mutual | $8 | 166% |
| Wc Meijers | $8 | 166% |
| Wc Michigan | $8 | 166% |
| Wc Mitchell Frankenmuth | $8 | 166% |
| Wc Pma | $8 | 166% |
| Wc Sedgwick | $8 | 166% |
| Wc Sentry | $8 | 166% |
| Wc Travelers | $8 | 166% |
| Wc Tristar | $8 | 166% |
| Wc Walmart | $8 | 166% |
| Wc Zurich | $8 | 166% |
| Employee Benefit Logistic | $11 | 229% |
| Priority Health | $12 - $13 | 249% |
| Asr Health Benefits | $17 | 353% |
| Caresource | $17 | 353% |
| Hap | $17 - $25 | 353% |
| Varipro | $17 | 353% |
| Access Health | $21 | 437% |
| Acclaim | $21 | 437% |
| Administrative Concepts | $21 | 437% |
| Allegeant | $21 | 437% |
| Ameriben | $21 | 437% |
| American Family | $21 | 437% |
| American Healthcare Alliance | $21 | 437% |
| American National | $21 | 437% |
| American Republic | $21 | 437% |
| Amerihealth | $21 | 437% |
| Aultcare | $21 | 437% |
| Automated Benefit Services | $21 | 437% |
| Auxiant | $21 | 437% |
| Benefit Administrative Systems,Llc | $21 | 437% |
| Boon Chapman | $21 | 437% |
| Cam Administrative Services | $21 | 437% |
| Christian Brother Services | $21 | 437% |
| Christian Brothers Holy Cross | $21 | 437% |
| Comprehensive Benefits | $21 | 437% |
| Continental Life Insurance | $21 | 437% |
| Custom Benefit Administrators | $21 | 437% |
| Employee Benefit Concepts | $21 | 437% |
| Employee Benefit Management | $21 | 437% |
| Enterprise Group Planning | $21 | 437% |
| Freedom Life Insurance Company | $21 | 437% |
| Group Administrators | $21 | 437% |
| Group Marketing Services | $21 | 437% |
| Guardian | $21 | 437% |
| Health America | $21 | 437% |
| Health Choices | $21 | 437% |
| Healthcare Management Admin | $21 | 437% |
| Healthez | $21 | 437% |
| Humana | $21 | 437% |
| Insight | $21 | 437% |
| Intercare | $21 | 437% |
| Jfp Benefit Management | $21 | 437% |
| Jp Farley Corporation | $21 | 437% |
| Key Benefit Administrator | $21 | 437% |
| Liberty Union Life Assurance Co | $21 | 437% |
| Lucent Health | $21 | 437% |
| Luminare Health | $21 | 437% |
| Luminare Health (Detroit) | $21 | 437% |
| Magnacare | $21 | 437% |
| Medben | $21 | 437% |
| Medcost | $21 | 437% |
| Medical Mutual | $21 | 437% |
| Mutual Health Services | $21 | 437% |
| Mutual Of Omaha | $21 | 437% |
| Ncas | $21 | 437% |
| Nippon Life Ins | $21 | 437% |
| Nova | $21 | 437% |
| Painters Union Insurance Fund | $21 | 437% |
| Physicians Mutual | $21 | 437% |
| Plumbers Local 98 Insurance Fund | $21 | 437% |
| Prairie States | $21 | 437% |
| Preferred One | $21 | 437% |
| Primary Physician Care | $21 | 437% |
| Professional Benefit Administrators | $21 | 437% |
| Siho Insurance Services | $21 | 437% |
| Sisco Benefits | $21 | 437% |
| The Loomis Company | $21 | 437% |
| Unicare | $21 | 437% |
| Us Health And Life | $21 | 437% |
| Valenz | $21 | 437% |
| Western & Southern Financial Group | $21 | 437% |
| Wps | $21 | 437% |
| Coventry | $22 | 457% |
| First Health | $22 | 457% |
| Hospice Of Michigan | $22 | 457% |
| Cigna | $23 | 478% |
| 1199 National Benefit Fund | $24 | 499% |
| Allied National Global Care | $24 | 499% |
| Asrm - Reliance Standard Life Insurance | $24 | 499% |
| Christian Care Ministry | $24 | 499% |
| Dean Health | $24 | 499% |
| Fallon Health | $24 | 499% |
| Family Life Insurance Company | $24 | 499% |
| Ghc Scw | $24 | 499% |
| Group Pension Administrators | $24 | 499% |
| International Benefit Administrators | $24 | 499% |
| Lifetime Benefit Solutions | $24 | 499% |
| Manhattan Life | $24 | 499% |
| Medi Share | $24 | 499% |
| Multiplan | $24 | 499% |
| Mvp | $24 | 499% |
| Pai | $24 | 499% |
| Pan-American Life | $24 | 499% |
| Paramount Hmo | $24 | 499% |
| Phcs | $24 | 499% |
| Trinity Health Share | $24 | 499% |
| Health Partners | $25 | 520% |
| Tufts Health Plan | $25 | 520% |
| Prime Health Services | $26 | 541% |
| Three Rivers Provider Network | $29 | 603% |
| Cmh Detroit Wayne Integrated Health Network | $32 | 665% |
| Cmh Jackson County/Lifeways | $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% |
| Magellan Behavioral Health | $32 | 665% |