CMS Price Transparency Data

Blood test, sodium

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $71
Cash Discount Price: $1,693
vs. Medicare Baseline: 14.76x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,693. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 14.76x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$1,693

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $1,693 (35198%)

Insurance Median: $71 (1476%)

Cash: $1,693 (35198% of Medicare)

Ins. Median: $71 (1476% 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 1476% of the Medicare baseline (a markup of 1376%). 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	$5 - $25	104%
Group Health Cooperative Of Eau Claire	$5 - $3,312	104%
Humana	$5 - $3,103	104%
Icare	$5	104%
Managed Health Services	$5	104%
Molina Healthcare Of Wi	$5 - $2,963	104%
My Choice	$5	104%
Network Health Plan	$5 - $2,911	104%
Quartz	$5 - $1,987	104%
Security Health Plan (Shp)	$5 - $2,014	104%
Trilogy	$5 - $3,137	104%
UnitedHealthcare	$5 - $17	104%
Veteran'S Administration (Va Ccn)	$5	104%
The Alliance	$40 - $1,770	832%
Amish/Mennonite	$43 - $1,917	894%
Wps Health Insurance	$53 - $2,346	1102%
Cigna	$54 - $2,580	1123%
Health Payment Systems	$55 - $2,426	1143%
First Health	$67 - $2,963	1393%
Healtheos By Multiplan Inc.	$73 - $3,312	1518%
Health Partners	$75 - $3,312	1559%
Coventry	$76 - $3,347	1580%

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 $1,693.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.