CMS Price Transparency Data

Blood test, sodium

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Tennova Healthcare-Jefferson Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$25

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: $25 (520%)
Insurance Median: $5 (104%)
Cash: $25 (520% 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
Amerigroup $2 42%
Medicaid / KanCare $2 42%
UnitedHealthcare $2 - $115 42%
Tricare $4 83%
Aetna $5 - $74 104%
Blue Cross Blue Shield $5 - $23 104%
Humana $5 104%
Medicare (plans) $5 104%
Node Amerigroup Mcr Adv $5 104%
Node Bluecare Plus Tn Mcr Adv $5 104%
Node Champva $5 104%
Node Devoted Health Mcr Adv $5 104%
Node Farm Bureau Mcr Adv $5 104%
Node Healthspring Mcr Adv $5 104%
Node Hospice Non Par Agree $5 104%
Node Nhc Mcr Adv $5 104%
Node Va $5 104%
Node Wellcare Mcr Adv $5 104%
Veterans Eval Services $5 104%
Node Us Dept Of Labor $6 125%
Three Rivers Work Comp Tn $6 125%
Cigna $7 146%
Novanet Work Comp Tn $7 146%
Occunet Work Comp Tn $7 146%
Tn Work Comp $7 146%
Ambetter / Centene $9 187%
Bluecare $9 - $10 187%
Point Comfort Underwriters $10 208%
Self Pay $25 520%
Multiplan Complementary $91 1892%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals