CMS Price Transparency Data

Blood test, sodium

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $68
Cash Discount Price: $58
vs. Medicare Baseline: 14.14x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Holy Cross Hospital - Salt Lake is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 14.14x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $58 (1206%)

Insurance Median: $68 (1414%)

Cash: $58 (1206% of Medicare)

Ins. Median: $68 (1414% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1414% of the Medicare baseline (a markup of 1314%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$3 - $87	62%
Cigna	$4 - $115	83%
Denver Health	$4	83%
Health Choice	$4	83%
Medicaid / KanCare	$4	83%
Rocky Mountain Health Plan	$4	83%
Uuhp	$4 - $11	83%
Humana	$5	104%
Medicare (plans)	$5	104%
Centura Employee Plan	$6	125%
Employer Direct Healthcare	$6	125%
Motivhealth	$6	125%
UnitedHealthcare	$6	125%
Molina	$10 - $62	208%
Pehp	$62 - $144	1289%
Aetna	$64 - $122	1331%
Wise	$75 - $76	1559%
Deseret Mutual Benefit Administrators	$89	1850%
Select Health	$95	1975%
Multiplan	$100 - $131	2079%
Emi Health	$144	2994%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $58.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital - Salt Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.