CMS Price Transparency Data

Blood test, sodium

Facility: Ochsner Choctaw General

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $12
Cash Discount Price: $36
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Ochsner Choctaw General is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 2.49x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $36 (748%)

Insurance Median: $12 (249%)

Cash: $36 (748% of Medicare)

Ins. Median: $12 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
UnitedHealthcare	$2 - $26	42%
Blue Cross Blue Shield	$3 - $15	62%
Humana	$4 - $22	83%
Medicaid / KanCare	$4 - $5	83%
Cigna	$5 - $26	104%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$5 - $22	104%
Medicare (plans)	$5 - $25	104%
Primewell Health Services Commercial Exchange Plan	$5 - $32	104%
Primewell Health Services – Commercial	$5 - $32	104%
Shared Health Mississippi	$5 - $23	104%
Cor Vel	$6 - $39	125%
Prime Health Services Ppo	$6 - $38	125%
Prime Health Services Ppo -Workers Comp	$6 - $38	125%
Aetna	$9 - $31	187%
Zelis	$11 - $36	229%
Claritev D/B/A Multiplan/Phcs/American Life Care	$13 - $36	270%
Select Administrative Services Network	$18 - $34	374%
Ambetter / Centene	$22	457%

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 $36.
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 Ochsner Choctaw General 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.