CMS Price Transparency Data

Blood test, sodium

Facility: Albany Medical Center Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Albany Medical Center Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$5

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: $5 (104%)
Insurance Median: $5 (104%)
Cash: $5 (104% 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 $3 - $44 62%
Blue Shield Highmark $3 - $10 62%
Cdphp $3 - $44 62%
Fidelis $3 - $47 62%
Mvp $4 - $20 83%
UnitedHealthcare $4 - $62 83%
Aetna $5 - $11 104%
Blue Shield $5 - $21 104%
Cigna $5 104%
Emblem $5 - $9 104%
Emblem Health Ghi $5 - $9 104%
Hamaspik $5 - $46 104%
Magnacare $5 - $62 104%
Medicaid / KanCare $5 104%
Medicare (plans) $5 104%
Multiplan $5 - $66 104%
Mvp Commercial $5 104%
Nascentia $5 104%
Nascentia Health Options $5 104%
Tricare $5 104%
Empire Plan Nyship $6 - $7 125%
Emblem_Ghi $9 187%
Mvp Essential Plan $42 873%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals