CMS Price Transparency Data

Blood test, sodium

Facility: Marshfield Medical Center - Weston

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $50
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 10.40x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Marshfield Medical Center - Weston is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 10.40x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $51 (1060%)
Insurance Median: $50 (1040%)
Cash: $51 (1060% of Medicare)
Ins. Median: $50 (1040% 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 1040% of the Medicare baseline (a markup of 940%). 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
Blue Cross Blue Shield $5 - $30 104%
Group Health Cooperative Of Eau Claire $5 - $2,050 104%
Managed Health Services $5 104%
Security Health Plan (Shp) $5 - $33 104%
UnitedHealthcare $5 - $1,882 104%
Veteran'S Administration (Va Ccn) $5 104%
Family Health Center (Fhc) $26 - $1,139 541%
Amish/Mennonite $29 - $1,253 603%
Sanford Health Plan $29 - $1,253 603%
The Alliance $35 - $1,902 728%
Besse Forest Products $44 - $1,936 915%
Molina Healthcare Of Wi $44 - $1,936 915%
Rice Lake School District $44 - $1,936 915%
Wps Health Insurance $46 - $2,198 956%
Medica Of Wi $48 - $2,169 998%
Cigna $49 - $2,141 1019%
Corvel $49 - $2,164 1019%
First Health $49 - $2,164 1019%
Health Partners $49 - $2,164 1019%
Healtheos By Multiplan Inc. $49 - $2,164 1019%
Three Rivers Provider Network (Trpn) $49 - $2,164 1019%
Coventry $50 - $2,187 1040%
Health Smart $50 - $2,187 1040%
Rising Medical Work Comp $50 - $2,210 1040%
Trilogy $50 - $2,187 1040%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals