CMS Price Transparency Data

Blood test, sodium

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $10
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Geisinger-Bloomsburg Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 549 East Fair Street, Bloomsburg, PA.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $17 (353%)
Insurance Median: $10 (208%)
Cash: $17 (353% of Medicare)
Ins. Median: $10 (208% 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 208% of the Medicare baseline (a markup of 108%). 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 $4 - $15 83%
Advantra $5 104%
American Progressive $5 104%
Care Improvement Plus $5 104%
Cigna $5 104%
Geisinger Health Plan $5 - $12 104%
Humana $5 - $24 104%
Medicare (plans) $5 104%
UnitedHealthcare $5 104%
Medicaid / KanCare $6 125%
Amerihealth $7 146%
Geisinger Family Plan $7 146%
Medical Development International $7 146%
Naphcare $7 146%
Health Partners $8 166%
Upmc Chip $8 166%
Upmc For You $8 166%
Aetna $11 - $18 229%
Intergroup Services $11 - $20 229%
Ambetter / Centene $12 249%
Christian Healthcare Ministries $14 291%
Multiplan $24 499%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 549 East Fair Street, Bloomsburg, PA 17815
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals