CMS Price Transparency Data
Blood test, sodium
Facility: St James Hospital
Billing Code: 84295 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$26
about 5.2× the $5 Medicare rate · typically $12–$27
modeled estimate · not a bill or quote
Medicare pays $5 Fair price $26 Hospital's list price $56
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 | $5 - $48 | 104% |
| Blue Cross Blue Shieldmajor | $38 - $56 | 790% |
| Aetnamajor | $53 | 1102% |
| Cignamajor | $29 - $53 | 603% |
| Humanamajor | $5 | 104% |
| GEHA | $48 | 998% |
| PacificSource | $32 - $53 | 665% |
| + 6 smaller / regional plans | $10 - $53 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St James Hospital
Compare: Blood test, sodium at other MT hospitals
- Phillips County Hospital - Cah · Malta $4
- Roundup Memorial Healthcare · Roundup $5
- St Peters Health · Helena $7
- Logan Health Medical Center · Kalispell $7
- St. Patrick Hospital · Missoula $8
- Great Falls Clinic Hospital · Great Falls $9
- Stillwater Billings Clinic · Columbus $10
- Logan Health - Whitefish · Whitefish $10
Insurance negotiated median for the same procedure, sorted lowest first.