CMS Price Transparency Data

Blood test, sodium

Facility: Santa Rosa Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Santa Rosa Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$10

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: $10 (208%)
Insurance Median: $6 (125%)
Cash: $10 (208% 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
Fl Community Care $3 62%
Humana $3 - $5 62%
Medicaid / KanCare $3 62%
Molina $3 62%
Wellcare $3 62%
Cigna $4 - $20 83%
Node Champva $4 83%
Self Pay $4 - $21 83%
Tricare $4 83%
UnitedHealthcare $4 - $17 83%
Aetna $5 - $50 104%
Blue Cross Blue Shield $5 - $90 104%
Hospice Of Nw Fl $5 104%
Medicare (plans) $5 104%
Node Va $5 104%
Node Wellcare Mcr Adv $5 104%
Veterans Eval Services $5 104%
Florida Workers Compensation $6 125%
Geo Group $6 125%
Node Us Dept Of Labor $6 125%
Prime Health Work Comp Fl $6 125%
Oscar $7 146%
Florida State Auto Insurance $10 208%
Ambetter / Centene $12 249%
Prime Health Services $16 - $72 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals