CMS Price Transparency Data

Blood test, sodium

Facility: Cedar City Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $82
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 17.05x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Cedar City Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 17.05x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $100 (2079%)
Insurance Median: $82 (1705%)
Cash: $100 (2079% of Medicare)
Ins. Median: $82 (1705% 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 1705% of the Medicare baseline (a markup of 1605%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Health Choice $4 - $161 83%
Health Plan Of Nevada $4 - $161 83%
Healthy U $4 - $161 83%
Molina $4 - $171 83%
Selecthealth $4 - $162 83%
Triwest $4 83%
Aetna $5 - $174 104%
American Health $5 104%
Blue Cross Blue Shield $5 - $171 104%
Health Partners Of Nevada $5 104%
Humana $5 104%
Southwest Behavioral Health $5 104%
UnitedHealthcare $5 - $162 104%
Corporation Of The President $65 - $135 1351%
Corvel Corporation $65 - $135 1351%
Injury Care Of Nevada $65 - $135 1351%
Wcf Insurance $65 - $135 1351%
Byu Risk Management $74 - $153 1538%
Awh Connected $78 - $164 1622%
Byu Athletic Department $78 - $162 1622%
Campbell Scientific $78 - $162 1622%
Deseret Mutual $78 - $162 1622%
Emi $78 - $162 1622%
Emi Health $78 - $162 1622%
Franklin County $78 - $162 1622%
Global Excel $78 - $162 1622%
Ifit $78 - $162 1622%
Juniper Systems $78 - $162 1622%
Lw Miller $78 - $162 1622%
Managed Care Admin $78 - $162 1622%
Medcare International $78 - $162 1622%
Motivhealth $78 - $162 1622%
Pehp $78 - $171 1622%
Prodegi Corp Benefit $78 - $162 1622%
Tanner Llc $78 - $162 1622%
Uofu $78 - $171 1622%
Utah Tech $78 - $162 1622%
Wise Network $78 - $162 1622%
Cigna $82 - $171 1705%
Health Utah $82 - $171 1705%
Hygeia Corporation $82 - $171 1705%
Springtide $82 - $171 1705%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals