CMS Price Transparency Data

Blood test, sodium

Facility: Neshoba County General Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Neshoba County General Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$18

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: $18 (374%)
Insurance Median: $5 (104%)
Cash: $18 (374% 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
Magnolia Mcaid $4 83%
Molina Mcaid $4 83%
Mpcn Mcaid $4 83%
Tricare $4 83%
UnitedHealthcare $4 - $13 83%
Humana $5 104%
Magnolia Mcr Adv-All Other Plans $5 104%
Molina Comm-All Other Plans $5 104%
Molina Mcr Adv $5 104%
Wellcare Mcr Adv-All Plans $5 104%
First Choice Comm Ip/Op Only - All Plans $6 125%
Aetna $13 270%
Cigna $17 353%
Ahs Ip/Op Only-All Plans $20 416%
Blue Cross Blue Shield $21 437%
Affordable Health Care-All Plans $22 457%
Health Choice Ip/Op Only-All Plans $22 457%
Health Link Ip/Op Only-All Plans $22 457%
Geha-All Plans $23 478%
Multiplan-All Plans $23 478%
Mpcn Ip/Op Only-All Other Plans $32 665%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL