CMS Price Transparency Data

Blood test, sodium

Facility: McKenzie-Willamette Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at McKenzie-Willamette Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 1460 G Street, Springfield, OR.
Cash / Self-Pay
$43

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: $43 (894%)
Insurance Median: $6 (125%)
Cash: $43 (894% 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
Pacificsource Individual $3 62%
Pacificsource Non-Individ $3 62%
Pacificsource Psn/Voyager - All Other Plans $3 62%
Healthnet Mcd $4 83%
Pacificsource Hlthier Or $4 83%
Pacificsource Mcaid $4 83%
Trillium Mcaid-All Plans $4 83%
Healthnet Mcr Adv $5 104%
Kaiser Mcr Adv $5 104%
UnitedHealthcare $6 125%
Providence Hp Pebb $10 208%
Blue Cross Blue Shield $14 291%
Kaiser Mcaid $16 333%
Healthnet Comm - All Other Plans $36 748%
Providence Hp - All Other Plans $46 956%
Cigna $49 1019%
Aetna $57 1185%
Kaiser Comm - All Other Plans $192 3992%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1460 G Street, Springfield, OR 97477
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals