CMS Price Transparency Data

Blood test, sodium

Facility: Poplar Bluff Regional Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Poplar Bluff Regional Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $14 (291%)
Insurance Median: $7 (146%)
Cash: $14 (291% of Medicare)
Ins. Median: $7 (146% 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
Blue Cross Blue Shield $1 - $97 21%
Self Pay $1 - $90 21%
Access Health Services, Llc $3 - $214 62%
Cigna $3 - $300 62%
Evolutions Healthcare $3 - $205 62%
First Health $3 - $244 62%
Healthlink $3 - $235 62%
Parker Hannifin $3 - $263 62%
Tyson Foods $3 - $206 62%
UnitedHealthcare $3 - $202 62%
Blue Traditional $4 - $290 83%
Compresults Wc $4 - $338 83%
Coventry Wc $4 - $300 83%
Medicaid / KanCare $4 - $75 83%
Multiplan $4 - $327 83%
Municipal Health $4 - $300 83%
Node Champva $4 83%
Phcs $4 - $327 83%
Tricare $4 83%
Blue Access $5 104%
Centurion Correctional $5 - $6 104%
Humana $5 104%
Medicare (plans) $5 104%
Node Ahs Mcr Adv $5 104%
Node Devoted Health Mcr Adv $5 104%
Node Hospice Non Par Agree $5 104%
Node Pphp Mcr Adv $5 104%
Node United Behavioral Health Mcr Adv $5 104%
Node Va $5 104%
Veterans Eval Services $5 104%
Us Department Of Labor $6 125%
Naphcare $9 187%
Home State Exchange $12 249%
W W Wood $12 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals