CMS Price Transparency Data

Blood test, sodium

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Mary Hitchcock Memorial Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $13 (270%)
Insurance Median: $9 (187%)
Cash: $13 (270% of Medicare)
Ins. Median: $9 (187% 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
UnitedHealthcare $2 - $32 42%
Blue Cross Blue Shield $3 - $39 62%
Amerihealth Caritas Nh $4 - $5 83%
Beacon Health Strategies/Carelon $4 - $5 83%
Granite State Health Plan $4 - $5 83%
Wellsense Health Plan $4 - $5 83%
Aetna $5 - $29 104%
Ambetter / Centene $5 - $16 104%
Cigna $5 - $30 104%
Harvard Pilgrim Health Care Of Ne $5 - $27 104%
Martin'S Point Generations Advantage $5 104%
Martin'S Point Health Care $5 - $14 104%
Mvp $5 - $28 104%
Wellcare Health Plans $5 104%
Mass General Brigham Health Plan $12 - $26 249%
Tufts Health Plan $14 - $24 291%
Maine Community Health Options $27 - $31 561%
Coventry $37 769%
First Health/Hcvm $37 769%
Phcs $38 790%
Corvel $39 811%
Ccmsi $40 832%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals