CMS Price Transparency Data

Blood test, sodium

Facility: Sunrise Hospital and Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Sunrise Hospital and Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$25

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: $25 (520%)
Insurance Median: $5 (104%)
Cash: $25 (520% 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
Blue Cross Blue Shield $2 - $6 42%
Cigna $2 - $13 42%
United $2 - $249 42%
Ambetter / Centene $3 - $5 62%
Amerigroup $3 62%
Caresource $3 62%
Community Care Health $3 62%
Health Plan Nevada $3 62%
Humana $3 - $7 62%
Molina $3 - $4 62%
Molina Healthcare $3 62%
Sierra Hpn $3 62%
Silver Summit $3 - $4 62%
Aetna $5 - $8 104%
Alignment Health Plan $5 104%
Caremore $5 104%
Health Net $5 104%
Health Services Coalition $5 104%
Hometown Health Mcr $5 104%
Imperial Nv $5 104%
Select Health $5 - $274 104%
Sierra $5 - $6 104%
Triwest Healthcare Alliance $5 104%
Universal Healthcare $6 125%
Legacy Provider Network $15 312%
Comp-Med Workers Comp $16 333%
Corvel $16 - $18 333%
Olympus Medsave Usa $17 - $892 353%
Prominence Healthfirst $331 - $357 6881%
Cmn Global $463 - $500 9626%
Hometown Health Providers $551 - $595 11455%
Nv Health & Welfare Trust $661 - $714 13742%
Multiplan $694 - $869 14428%
First Health $727 - $952 15114%
Medcare International $826 - $892 17173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals