CMS Price Transparency Data

Blood test, sodium

Facility: Merit Health River Oaks

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $4
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Merit Health River Oaks is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $44 (915%)
Insurance Median: $4 (83%)
Cash: $44 (915% of Medicare)
Ins. Median: $4 (83% 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
Self Pay $1 - $106 21%
Trimed Billing Solutions $1 - $145 21%
UnitedHealthcare $1 - $129 21%
First Choice Coventry $2 - $251 42%
First Choice Mpcn Standard $2 - $266 42%
First Choice Ppo Plus $2 - $266 42%
First Choice Standard $2 - $222 42%
Ms State Hospital Of Whitfield Ms $2 - $184 42%
Phcs $2 - $290 42%
Aetna $3 - $338 62%
American Health Group $3 - $411 62%
Beech Street $3 - $411 62%
Benefit Administration Services $3 - $411 62%
Benefit Management Systems $3 - $411 62%
Citizens State Bank Inc $3 - $411 62%
First Choice Stratose $3 - $386 62%
Formost $3 - $411 62%
Prime Health Services $3 - $386 62%
Tricare $3 - $4 62%
Usa Mco $3 - $411 62%
Advanced Health Systems $4 - $7 83%
Blue Cross Blue Shield $4 - $8 83%
Caresource Truecare $4 83%
Humana $4 - $5 83%
Magnolia Mcd Chip $4 83%
Medicaid / KanCare $4 - $5 83%
Medicare (plans) $4 - $5 83%
Molina $4 - $5 83%
Molina Exchange $4 - $8 83%
Ms Dept Of Rehabilitation Services $4 - $483 83%
Node Champva $4 - $5 83%
Node Devoted Health Mcr Adv $4 - $5 83%
Node First Choice American Health Mcr Adv $4 - $5 83%
Node First Choice Seven Corners $4 - $8 83%
Node First Choice Shared Health Of Ms Mcr Adv $4 - $5 83%
Node First Choice Wellcare Mcr Adv $4 - $5 83%
Node Healthy Mississippi Mcr Adv $4 - $5 83%
Node Hospice Non Par Agree $4 - $5 83%
Node Va $4 - $5 83%
Node Vantage Health Mcr Adv $4 - $5 83%
One Health Plan $4 - $435 83%
Veterans Eval Services $4 - $5 83%
Molina Chip $5 104%
Node Us Dept Of Labor $5 - $6 104%
First Choice Preferred $6 - $7 125%
Node First Choice Occunet $6 - $7 125%
Magnolia Exchange $7 - $8 146%
First Choice Lgp $9 - $10 187%
Ms Work Comp $9 187%
Prime Health Wc $9 187%
Vantage Health Commercial $9 - $11 187%
Cigna $96 1996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals