CMS Price Transparency Data

Blood test, sodium

Facility: Tristar Centennial Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $468
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Tristar Centennial Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $468. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.
Cash / Self-Pay
$468

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $468 (9730%)
Insurance Median: $7 (146%)
Cash: $468 (9730% of Medicare)
Ins. Median: $7 (146% 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
Wellpoint $2 42%
Aetna $4 - $234 83%
Ambetter / Centene $5 104%
American Health Advantage $5 104%
Amerigroup $5 104%
Atrio Golden Times $5 104%
Blue Cross Blue Shield $5 - $27 104%
Bright Health $5 - $6 104%
Devoted Health Plan $5 104%
Evergreen Hmo $5 104%
Healthspring $5 104%
Humana $5 - $304 104%
Odyssey Healthcare $5 104%
Sarah Cannon Research $5 104%
Signature Advantage $5 104%
United $5 - $211 104%
United Behavioral Health $5 104%
Wellcare $5 104%
Zing $5 104%
Corvel Corporation $7 146%
Novanet $7 146%
Prime Health $7 - $412 146%
Cigna $9 - $374 187%
Oscar $14 291%
Kentucky Labor Cabinet $86 1788%
Apex Health $89 1850%
Nhc Advantage, Inc. $89 1850%
Pruitt Health (Allyalign) $89 1850%
Tennessee Donor Services $127 2640%
Centurion $193 4012%
Emerging Therapy Solutions $229 - $314 4761%
Bgfh Singlesource $234 - $398 4865%
Value Option $234 4865%
Multiplan $257 5343%
Southern Health Partners $281 5842%
Employers Health Network $328 6819%
Mhnet $351 7297%
Odom'S Tn Pride Sausage $351 7297%
Compsych $374 7775%
Beech Street $412 8565%
UnitedHealthcare $417 - $468 8669%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Patterson Street, Nashville, TN 37203
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals