CMS Price Transparency Data

Blood test, sodium

Facility: Bellevue Hospital Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $16
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 3.33x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Bellevue Hospital Center is $16. 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 3.33x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $16 (333%)
Cash: $5 (104% of Medicare)
Ins. Median: $16 (333% 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 333% of the Medicare baseline (a markup of 233%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $4 - $14 83%
Blue Cross Blue Shield $4 - $97 83%
Healthfirst $4 - $97 83%
Centerlight $5 - $6 104%
Centers Plan For Healthy Living $5 104%
Elderplan $5 104%
Fidelis $5 - $97 104%
Hamaspik $5 - $6 104%
Metroplus $5 - $97 104%
Oxford $5 - $7 104%
Wellcare $5 - $7 104%
Magnacare $6 125%
Villagecare Max $6 - $17 125%
Local 1199 $7 - $17 146%
Oscar $7 146%
United $7 - $54 146%
Affinity $8 - $97 166%
Cigna $12 249%
Carelon $13 - $43 270%
Emblem $14 - $58 291%
Multiplan $16 333%
Vnsny $17 - $44 353%
Amidacare $43 894%
Senior Whole Health $43 894%
United Behavioral Health $43 - $48 894%
Carelon (Amida Care) $44 915%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals