CMS Price Transparency Data

Blood test, sodium

Facility: Thomas Jefferson University Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Thomas Jefferson University Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.
Cash / Self-Pay
$6

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: $6 (125%)
Insurance Median: $5 (104%)
Cash: $6 (125% 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
Blue Cross Blue Shield $3 - $34 62%
Medicare (plans) $3 - $6 62%
Aetna $5 - $23 104%
Allwell Pa Health_Wellness Ma $5 104%
Cigna $5 - $7 104%
Devoted Health Participation $5 104%
Humana $5 104%
Ibc $5 104%
Innovage $5 104%
Inspira Life $5 104%
Jefferson Health Plan Aca Qhp Exchange $5 104%
Keystone First Vip Choice $5 104%
Point Of Comfort Refugee Resettlement $5 104%
Provider Partners Health Plan $5 104%
St Agnes $5 104%
Tricare $5 104%
UnitedHealthcare $5 104%
Highmark Wholecare Gateway $6 125%
Ibc Employee Benefit $6 125%
Ibc Main Line Health $6 125%
Perennial $6 125%
Ambetter / Centene $7 146%
Upmc Commercial $7 146%
Naphcare $8 - $9 166%
Pa Health_Wellness Chc $8 166%
Medicaid / KanCare $9 - $12 187%
Highmark $12 - $14 249%
Keystone First $18 374%
Geisinger Health Plan $20 416%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals