CMS Price Transparency Data

Blood test, sodium

Facility: St Clair Hospital

Billing Code: 84295 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5
about 1.0× the $5 Medicare rate · typically $5–$7
modeled estimate · not a bill or quote
What this hospital charges insurers
$7
Above the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $5 Fair price $5 This hospital $7 Cash price $10 Hospital's list price $39

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $5 Priciest $7

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, sodium is about $5 (about 1.0× the $5 Medicare rate). St Clair Hospital charges insurers about $7, or about $10 in cash — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $5 - $7 104%
Blue Cross Blue Shieldmajor $4 - $10 83%
Aetnamajor $5 - $13 104%
Cignamajor $5 - $7 104%
Humanamajor $5 104%
AmeriHealth $5 - $7 104%
Geisinger $5 - $7 104%
HealthPartners $5 - $7 104%
UPMC Health Plan $5 - $23 104%
+ 3 smaller / regional plans $5 - $12

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals