CMS Price Transparency Data

Blood test, sodium

Facility: Mena Regional Health System

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Mena Regional Health System is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 311 North Morrow Street, Mena, AR.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $39 (811%)
Insurance Median: $5 (104%)
Cash: $39 (811% of Medicare)
Ins. Median: $5 (104% 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
Aetna $5 104%
Allwell Mcr Adv $5 104%
Ar Superior Select Tribute Health Plan Mcr Adv $5 104%
Blue Cross Blue Shield $5 104%
Cigna $5 104%
Humana $5 104%
Medicare (plans) $5 104%
UnitedHealthcare $5 104%
Vapccc3 All Regions 1-6 Dos Gt 1/30/19 $5 104%
Wellcare Health Plan Inc Mcr Adv $5 104%
Ambetter / Centene $6 125%
Qualchoice $7 146%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 North Morrow Street, Mena, AR 71953
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals