CMS Price Transparency Data

Blood test, sodium

Facility: Crossgates River Oaks Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Crossgates River Oaks Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$56

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: $56 (1164%)
Insurance Median: $5 (104%)
Cash: $56 (1164% 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
Cigna $1 - $263 21%
Self Pay $1 - $105 21%
Trimed Billing Solutions $1 - $113 21%
UnitedHealthcare $1 - $109 21%
First Choice Coventry $2 - $196 42%
First Choice Standard $2 - $173 42%
Ms State Hospital Of Whitfield $2 - $143 42%
Aetna $3 - $263 62%
Benefit Management Systems $3 - $320 62%
First Choice Mpcn Standard $3 - $207 62%
First Choice Ppo Plus $3 - $207 62%
Phcs $3 - $226 62%
American Health Group $4 - $320 83%
Beech Street $4 - $320 83%
Caresource Truecare $4 83%
First Choice Stratose $4 - $301 83%
Ibew $4 - $320 83%
Magnolia Mcd Chip $4 83%
Medicaid / KanCare $4 - $5 83%
One Health Plan $4 - $338 83%
Prime Health Services $4 - $301 83%
Tricare $4 83%
Advanced Health Systems $5 - $7 104%
Blue Cross Blue Shield $5 - $8 104%
First Choice Lgp $5 - $10 104%
Humana $5 104%
Medicare (plans) $5 104%
Molina $5 104%
Molina Chip $5 104%
Molina Exchange $5 - $8 104%
Ms Dept Of Rehabilitation Services $5 - $376 104%
Node Champva $5 104%
Node Devoted Health Mcr Adv $5 104%
Node First Choice American Health Of Ms Mcr Adv $5 104%
Node First Choice Shared Health Of Ms Mcr Adv $5 104%
Node First Choice Wellcare Mcr Adv $5 104%
Node Healthy Mississippi Mcr Adv $5 104%
Node Hospice Non Par Agree $5 104%
Node Magnolia Mcr Adv $5 104%
Node Va $5 104%
Node Vantage Health Mcr Adv $5 104%
Node Windsor Mcr Adv $5 104%
Veterans Eval Services $5 104%
Node Us Dept Of Labor $6 125%
First Choice Preferred $7 146%
Node First Choice Occunet $7 146%
Node Magnolia Exchange $8 166%
Ms Work Comp $9 187%
Prime Health Wc $9 187%
Vantage Health Commercial $11 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals