CMS Price Transparency Data

Blood test, sodium

Facility: North Okaloosa Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at North Okaloosa Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $40 (832%)
Insurance Median: $6 (125%)
Cash: $40 (832% of Medicare)
Ins. Median: $6 (125% 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
Amerigroup $3 62%
Humana $3 - $5 62%
Integral Health $3 62%
Magellan Health $3 62%
Medicaid / KanCare $3 62%
Prestige Health $3 62%
Simply Healthcare $3 - $5 62%
UnitedHealthcare $3 - $35 62%
Wellcare $3 - $5 62%
Node Champva $4 83%
Tricare $4 83%
Aetna $5 - $132 104%
Blue Cross Blue Shield $5 - $176 104%
Cigna $5 - $137 104%
Florida Department Of Corrections $5 104%
Medicare (plans) $5 104%
Node Non Par Hospice Agree $5 104%
Node Va $5 104%
Veterans Eval Services $5 104%
Amcomp Workers Comp $6 125%
Evolutions $6 - $154 125%
Node Us Dept Of Labor $6 125%
Prime Health Work Comp Fl $6 125%
Usa Managed Care Work Comp Fl $6 125%
Oscar $7 146%
State Auto Insurance Fl $10 208%
Occunet $12 249%
Self Pay $32 - $47 665%
Corizon Health Inc $59 1227%
Phcs $158 3285%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals