CMS Price Transparency Data

Blood test, sodium

Facility: Montefiore St Luke's Cornwall

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Montefiore St Luke's Cornwall is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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%)
Insurance Median: $7 (146%)
Ins. Median: $7 (146% 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
Fidelis $4 - $6 83%
Aetna $5 - $7 104%
Blue Cross Blue Shield $5 - $95 104%
Cdphp $5 104%
Centerlight $5 104%
Emblem $5 - $96 104%
Hudson Valley $5 104%
Humana $5 104%
Mediblue $5 104%
Medicaid / KanCare $5 104%
Oscar $5 104%
Point Comfort $5 104%
UnitedHealthcare $5 - $6 104%
American Postal Workers $6 125%
Geha $7 146%
Meritain Health $7 146%
Mvp $7 146%
Nippon Life Insurance $7 146%
Northwell $13 270%
Healthfirst $17 353%
Cigna $47 - $52 977%
Centivo $76 1580%
Seiu1199 $90 1871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals