CMS Price Transparency Data

Blood test, sodium

Facility: Parkland Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $20
Cash Discount Price: $205
vs. Medicare Baseline: 4.16x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Parkland Medical Center is $20. 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 4.16x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $20 (416%)

Cash: $205 (4262% of Medicare)

Ins. Median: $20 (416% 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 416% of the Medicare baseline (a markup of 316%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth Caritas	$4	83%
John Hancock	$4	83%
Well Sense Health Plan	$4	83%
Blue Cross Blue Shield	$5 - $90	104%
Cigna	$5 - $143	104%
Evernorth Behavioral Health	$5	104%
Humana	$5	104%
Martin'S Point Health	$5	104%
United	$5 - $124	104%
United Behavioral Health	$5	104%
United Va Ccn	$5	104%
Ambetter / Centene	$9	187%
Harvard Pilgrim	$15 - $20	312%
Maine Community Health	$64 - $109	1331%
Tufts Health Plan	$117 - $121	2432%
Aetna	$122 - $137	2536%
Mvp Health Plan	$144	2994%
Corvel	$148	3077%
Evernorth	$164	3410%
Healthcare Value Mgmt	$172	3576%
First Health	$174	3617%
Oxford Health Plans	$195	4054%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $205.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.