CMS Price Transparency Data

Blood test, sodium

Facility: Physicians Regional Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $6
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Physicians Regional Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $25 (520%)
Insurance Median: $6 (125%)
Cash: $25 (520% of Medicare)
Ins. Median: $6 (125% 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
Amerigroup $2 - $5 42%
Amerigroup Community Care $2 42%
Medicaid / KanCare $2 42%
UnitedHealthcare $2 - $115 42%
Tricare $4 83%
Aetna $5 - $18 104%
Blue Cross Blue Shield $5 - $22 104%
Department Of Veterans Affairs $5 104%
Humana $5 104%
Medicare (plans) $5 104%
Node Bluecare Plus Tn Mcr Adv $5 104%
Node Devoted Health Mcr Adv $5 104%
Node Farm Bureau Mcr Adv $5 104%
Node Healthspring Mcr Adv $5 104%
Node Hospice Non Par Agree $5 104%
Node Nhc Mcr Adv $5 104%
Node Va $5 104%
Veterans Eval Services $5 104%
Wellcare $5 104%
Node Us Dept Of Labor $6 125%
Us Department Of Labor $6 125%
Cigna $7 146%
Novanet Work Comp Tn $7 146%
Occunet Work Comp Tn $7 146%
Tn Work Comp $7 146%
Ambetter / Centene $9 187%
Node Point Comfort Underwriters $9 187%
Self Pay $25 - $26 520%
Multiplan $62 - $82 1289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals