CMS Price Transparency Data

Blood test, sodium

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $37
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 7.69x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Uhhs Memorial Hospital of Geneva is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 7.69x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $50 (1040%)
Insurance Median: $37 (769%)
Cash: $50 (1040% of Medicare)
Ins. Median: $37 (769% 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 769% of the Medicare baseline (a markup of 669%). 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
Blue Cross Blue Shield $2 - $63 42%
University Health Employee Plan (Contigo) $7 146%
Aetna $12 - $24 249%
Cigna $13 - $49 270%
Devoted Health $13 270%
Humana $13 270%
Medical Mutual Of Ohio $13 - $67 270%
Molina $13 270%
Primetime Health Plan $13 270%
Summacare $13 - $34 270%
The Health Plan $13 - $44 270%
UnitedHealthcare $13 - $67 270%
Wellcare By Allwell $13 270%
Paramount $14 291%
Perennial Advantage Of Ohio $14 291%
Valor Health Plans $14 291%
Ambetter / Centene $24 499%
Caresource $24 499%
Amish Aid Community Plan $31 644%
Amish Church Fund And Workers Aid Plan $31 644%
Buckeye Plain Ministries $31 644%
Jp Farley $31 644%
Clarity $32 665%
Christian Healthcare Ministries $34 707%
Immergrun $34 707%
Sunrise Plan Communities $34 707%
Aultcare $37 769%
Healthsmart $44 915%
Ohio Health Choice $44 - $60 915%
Beech Street $54 - $60 1123%
Ohio Preferred Network $54 - $60 1123%
First Health $56 1164%
Century Health Network $57 1185%
Private Healthcare System $58 1206%
Configurenet $60 1247%
Fortified Provider Network $60 1247%
Multiplan $60 1247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals