CMS Price Transparency Data

Blood test, sodium

Facility: East Liverpool City Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at East Liverpool City Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $4 (83%)
Insurance Median: $6 (125%)
Cash: $4 (83% of Medicare)
Ins. Median: $6 (125% 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
Medicaid / KanCare $4 - $16 83%
Blue Cross Blue Shield $5 - $16 104%
Buckeye Community Health Plan $5 - $16 104%
Care Source $5 - $16 104%
Communicare $5 104%
Devoted Health $5 104%
Health America $5 104%
Medical Mutual Of Oh $5 104%
Medicare (plans) $5 104%
Molina $5 - $16 104%
Perennial $5 104%
Tricare $5 104%
UnitedHealthcare $5 - $17 104%
Valor Health Plan $5 104%
Naphcare $6 125%
Employer Direct Healthcare $7 146%
Multiplan (Fka Private Healthcare Systems) $7 146%
Provider Select $7 146%
Three Rivers $7 146%
Worker Compensation $7 146%
Paramount $16 333%
Standard Eapg Logic $16 333%
Amerihealth Caritas $17 353%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals