CMS Price Transparency Data

Blood test, sodium

Facility: Strong Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Strong Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.
Cash / Self-Pay
$26

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: $26 (541%)
Insurance Median: $5 (104%)
Cash: $26 (541% 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
Cigna $4 83%
Medicaid / KanCare $4 - $7 83%
Medicare (plans) $4 - $7 83%
Mvp [2900] $4 83%
Blue Cross Blue Shield $5 104%
Capital District Physicians Health Plan (Cdphp) [51490] $5 104%
Excellus [2201] $5 104%
Martins Point [1205] $5 104%
UnitedHealthcare $5 - $6 104%
Aetna $6 - $8 125%
Humana $6 125%
Molina Healthcare [1723], Molina Healthcare [5189] $6 125%
Independent Health [5156] $7 146%
Fidelis [5155] $11 229%
Molina Healthcare [5189] $11 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 Elmwood Ave, Rochester, NY 14642
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals