CMS Price Transparency Data

Blood test, sodium

Facility: Colleton Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Colleton Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$259

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: $259 (5385%)
Insurance Median: $7 (146%)
Cash: $259 (5385% 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
Humana $4 - $242 83%
Absolute Total Care $5 - $48 104%
Aetna $5 - $156 104%
Align Networks $5 104%
Arcadian $5 104%
Blue Cross Blue Shield $5 - $256 104%
Boldage Pace $5 104%
Cigna $5 - $174 104%
Clover $5 104%
Devoted Health $5 104%
Eon Health $5 104%
Molina $5 - $14 104%
Odyssey Hospice $5 104%
United $5 - $143 104%
United Behavioral Health $5 104%
Wellcare $5 104%
Blue Choice $6 125%
Universal Healthcare Group $6 125%
Corvel Corporation $7 146%
Employer'S Health Network $7 146%
Heritage Summit $7 146%
Prime Health $7 - $229 146%
Seven Corners $8 166%
Select Health $9 187%
Medical Development $10 208%
Naphcare $10 208%
Sc State Employees $16 - $18 333%
Blue Choice Health Plan $21 - $22 437%
Nhc Advantage $51 1060%
Pruitt Health $51 1060%
Employers Health Network $121 2516%
Value Option $134 2786%
Vocational Rehab $145 3015%
Medcost $152 - $196 3160%
Mhnet $202 4200%
Evernorth $215 4470%
Multiplan $229 4761%
North American Administrators $229 4761%
First Health $242 5031%
Novanet $242 5031%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals