CMS Price Transparency Data

Blood test, sodium

Facility: Flowers Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Flowers Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $22 (457%)
Insurance Median: $8 (166%)
Cash: $22 (457% of Medicare)
Ins. Median: $8 (166% 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.

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
Alabama Rehab $3 62%
Medicaid / KanCare $3 62%
Bc Pml $4 83%
Node Champva $4 83%
Tricare $4 83%
UnitedHealthcare $4 - $5 83%
Aetna $5 - $71 104%
Blue Cross Blue Shield $5 - $7 104%
Care Improvement Plus $5 104%
Cigna $5 - $8 104%
Compassionate Hands $5 104%
Covenant Hospice $5 104%
Dayspring Hospice $5 104%
Eon Health Care $5 104%
Humana $5 104%
Medicare (plans) $5 104%
Node Clover Health Mcr Adv $5 104%
Node Devoted Health Mcr Adv $5 104%
Node Hospice Non Par $5 104%
Node Va $5 104%
Node Viva Mcr Adv $5 104%
Node Wellcare Mcr Adv $5 104%
Occunet $5 104%
Prime Health $5 - $68 104%
Select Health $5 104%
Southern Care Hospice $5 104%
Veterans Eval Services $5 104%
Vistacare Hospice $5 104%
Wiregrass Hospice $5 104%
Node Us Dept Of Labor $6 125%
Ambetter / Centene $7 146%
Self Pay $15 - $29 312%
S & S Healthcare $24 499%
Choicecare Commercial $34 707%
American Employee Alliance $39 811%
Coventry Healthcare $48 - $74 998%
Viva Health $58 1206%
Multiplan $63 - $78 1310%
Alamed Wc $68 1414%
Standard Textile $68 1414%
Health Choice $71 1476%
Equian $73 - $76 1518%
Qhp $73 1518%
Novanet $78 1622%
Alabama Work Comp $81 1684%
Ccn/Mednet Ppo $82 1705%
Corvel $82 1705%
Industry Buying Group $82 1705%
Galaxy Health $87 1809%
Health Payors Org $87 1809%
National Provider Net $87 1809%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals