CMS Price Transparency Data

Blood test, sodium

Facility: Bmh-Calhoun

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $52
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 10.81x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Bmh-Calhoun is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 10.81x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $35 (728%)
Insurance Median: $52 (1081%)
Cash: $35 (728% of Medicare)
Ins. Median: $52 (1081% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1081% of the Medicare baseline (a markup of 981%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Molina $5 - $53 104%
Veterans Evaluation Services $5 104%
Blue Cross Blue Shield $7 - $30 146%
Ppo Holdings $25 520%
Magnolia Regional Health Center $27 561%
Tricare $27 561%
Devoted Health $29 603%
Ms Breast And Cervical $29 603%
Triwest $29 603%
Vaccn $29 603%
Aetna $30 - $44 624%
American Health Plan $30 624%
Humana $30 - $54 624%
Primewell $30 624%
Shared Health $30 624%
Magnolia Ms $33 686%
Littler $34 707%
Cigna $37 769%
First Choice Health Plan Of Ms $43 894%
Burch Food Services $49 1019%
First State Bank Trust $49 1019%
Arlington Community Schools $52 1081%
Armstrong Relocation $52 1081%
Ashley Furniture Stores $52 1081%
Bartlett City Schools $52 1081%
Brimhall Foods $52 1081%
Building Plastic $52 1081%
Cannon Motor Company $52 1081%
Carlisle $52 1081%
City Of Bartlett $52 1081%
City Of Lakeland $52 1081%
Collierville Schools $52 1081%
Crittenden County $52 1081%
Davidson Hospitality $52 1081%
Delta Industries $52 1081%
Desoto Co Board Of Supervisors $52 1081%
Dunn Investment Company $52 1081%
Eas Mssc Schools $52 1081%
First Community Bank $52 1081%
French Camp Academy $52 1081%
Gossett Motor Cars $52 1081%
Hattiesburg Clinic $52 1081%
Heartland Catfish Company $52 1081%
Heavy Machines $52 1081%
Hollowell Industries $52 1081%
Hospitality Management Advisors $52 1081%
Jas D Collier $52 1081%
Lakeland School System $52 1081%
Malco Theaters $52 1081%
Mechanical Systems $52 1081%
Mid-South Transport $52 1081%
Minact $52 1081%
Patterson Warehouses $52 1081%
Radians $52 1081%
Rei Nation $52 1081%
Retzer Resources $52 1081%
Ritchey Automotive $52 1081%
Security One $52 1081%
Silver Tree $52 1081%
State Systems $52 1081%
Town Of Collierville $52 1081%
United Tn Holdings $52 1081%
Vaughn Electric $52 1081%
W G Yates $52 1081%
W W Wood Products $52 1081%
Watkins Uiberall $52 1081%
Y K Auto Group $52 1081%
Advanced Health Systems Inc. $54 1123%
Christian Health Aid $54 1123%
Ppo Plus $57 1185%
Employers Health Network $58 1206%
Harding Academy $58 1206%
Multiplan $60 1247%
Qca $60 1247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals