CMS Price Transparency Data

Blood test, sodium

Facility: Blount Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Blount Memorial Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $19 (395%)
Insurance Median: $9 (187%)
Cash: $19 (395% of Medicare)
Ins. Median: $9 (187% 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
Medicaid / KanCare $2 - $6 42%
Golden Rule Insurance Company [2991] $3 62%
Oxford Health Plans [2992] $3 62%
UnitedHealthcare $3 - $6 62%
Cigna $4 - $6 83%
Mvp Health Care [3037] $4 83%
Tricare $4 83%
Blue Cross Blue Shield $5 - $25 104%
Humana $5 104%
Medicare (plans) $5 104%
Ambetter / Centene $7 146%
Consociate Health Contracted [4835] $11 229%
Fairos/Occunet Contracted [4837] $11 229%
Prisma Health Seniorcare Pace - Midlands [5400] $14 291%
Prisma Health Seniorcare Pace-Upstate [5200] $14 291%
Promise Health Plan Contracted [2401] $21 - $37 437%
Orangeburg Senior Helping Center Pace [5401] $24 499%
Bob Jones Univ-Pai [821] $37 769%
Preferred Administrators Contracted [2839] $43 894%
Medcost [2940] $45 - $51 936%
Atlantic Packaging Contracted [4833] $46 956%
Aps Healthcare System [2981] $49 1019%
Multiplan/Phcs Contracted [2950] $54 1123%
Aetna $55 1143%
Meritain Health Contracted [2200] $55 1143%
Nippon [2300] $55 1143%
Vsp Vision Care [2986] $55 1143%
First Health Contracted [2952] $57 1185%
Furman Int/Allen University Student [2951] $57 1185%
Quiktrip-First Health [3067] $57 1185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals