CMS Price Transparency Data

Blood test, sodium

Facility: Hospital San Francisco

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Hospital San Francisco is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$30

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: $30 (624%)
Insurance Median: $6 (125%)
Cash: $30 (624% 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
Mso $4 - $6 83%
Plan De Salud Menonita $5 - $8 104%
Triple S $5 - $8 104%
Acaa $6 125%
Ch $6 125%
Cigna $6 125%
Humana $6 125%
Mcs $6 - $7 125%
Medicaid / KanCare $6 125%
Medicare (plans) $6 125%
Mpc - Us $6 125%
Prossam $6 125%
Tricare $6 125%
UnitedHealthcare $6 125%
Us $6 125%
Va $6 125%
Aarp $7 146%
Comerciales $7 146%
Pr Other Insurances $7 146%
Bl $8 166%
Corvel Network $8 166%
First Medical $8 166%
Mapfre $8 166%
Mc $8 166%
Mpc-Pr Other Insurances $8 166%
Western Medical Hospice $8 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals