CMS Price Transparency Data

Blood test, sodium

Facility: Marion Communtiy Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $8
  • Cash Discount Price: $297
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Marion Communtiy Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$297

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: $297 (6175%)
Insurance Median: $8 (166%)
Cash: $297 (6175% 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
Humana $4 - $60 83%
Aetna $5 - $89 104%
Align Senior Care $5 104%
American Health Plan $5 104%
Avmed $5 - $83 104%
Blue Cross Blue Shield $5 104%
Careplus $5 104%
Centurion $5 104%
Cigna $5 104%
Clear Spring Health $5 104%
Devoted Health $5 104%
Florida Complete Care $5 104%
Freedom Optimum $5 104%
Gold Kidney Of Florida $5 104%
Ndms Definitive Care $5 104%
Secur $5 104%
Sunshine State $5 104%
United $5 - $134 104%
Va Purchased Care Program $5 104%
Veterans Evaluation Services $5 104%
Wellcare $5 104%
Wellmed $5 104%
Longevity Health Plan $6 125%
Simply Healthcare $6 125%
Ultimate Health Plan $6 125%
Naphcare $10 - $12 208%
University Ma Federal Corrections $10 208%
Wellpath $10 - $12 208%
Corvel Corporation $44 915%
Prime Health $45 936%
Careworks (Rockport Community) $46 956%
Marion County Schools $46 956%
Simply $46 956%
Molina Healthcare $57 - $95 1185%
Evolutions $68 1414%
Evolutions Healthcare $68 1414%
Sunshine State Health Plan $76 1580%
Plotkin Health $149 3098%
Prime Health Sheriff $149 3098%
Multiplan $232 4823%
Ppo Next $253 5260%
Novanet $268 5572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals