CMS Price Transparency Data

Blood test, sodium

Facility: UNM Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at UNM Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 2211 Lomas Boulevard Ne, Albuquerque, NM.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $18 (374%)
Insurance Median: $5 (104%)
Cash: $18 (374% of Medicare)
Ins. Median: $5 (104% 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
Humana $4 83%
Aetna $5 104%
Alamo Navajo School Board $5 104%
Blue Cross Blue Shield $5 - $6 104%
Indian Health Abq $5 104%
Kewa Pueblo Health Corporation $5 104%
Pueblo Of Isleta $5 104%
Pueblo Of Jemez $5 104%
Pueblo Of Sandia $5 104%
UnitedHealthcare $5 104%
Devoted Health $6 125%
Christus $7 146%
Albuquerque Public Schools $10 208%
Presbyterian Network $10 208%
Christus Health Exchange Plan $11 229%
Imperial Health Exchange $12 249%
Molina $12 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals