CMS Price Transparency Data

Blood test, sodium

Facility: Marshall Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Marshall Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1080 North Ellington Parkway, Lewisburg, TN.
Cash / Self-Pay
$20

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: $20 (416%)
Insurance Median: $5 (104%)
Cash: $20 (416% 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
Blue Cross Blue Shield $3 - $19 62%
UnitedHealthcare $3 - $5 62%
Aetna $5 - $40 104%
Ambetter / Centene $5 104%
American Health Plans $5 104%
Cigna $5 - $19 104%
Farm Bureau Health Plans $5 104%
Humana $5 - $12 104%
Medicare (plans) $5 104%
Nhc $5 104%
Oscar $5 104%
Wellcare Harmony Health $5 104%
Wellpoint $5 104%
Wayne County Jail $19 - $22 395%
Marshall County Jail $28 - $34 582%
Multiplan $30 - $36 624%
Phcs $30 - $36 624%
Firsthealth $32 - $38 665%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1080 North Ellington Parkway, Lewisburg, TN 37091
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals