CMS Price Transparency Data

Blood test, sodium

Facility: Mary Bridge Children's Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $6
Cash Discount Price: $18
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Mary Bridge Children's Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$18

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $18 (374%)

Insurance Median: $6 (125%)

Cash: $18 (374% of Medicare)

Ins. Median: $6 (125% 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.

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
Molina	$3 - $9	62%
Wellpoint	$3	62%
Community Health Plan Of Washington	$4 - $11	83%
Coordinated Care	$4	83%
UnitedHealthcare	$4 - $6	83%
Aetna	$5 - $37	104%
Premera	$5 - $6	104%
Regence	$5 - $6	104%
Wellcare	$5	104%
Kaiser	$6	125%
Uniform Medical	$6	125%
Pacificsource	$11 - $16	229%
Ambetter / Centene	$12	249%
First Choice	$27 - $39	561%
Cigna	$33 - $43	686%
First Health	$33 - $41	686%
Multiplan/Phcs	$33 - $41	686%

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 $18.
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 Mary Bridge Children's Hospital 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.