CMS Price Transparency Data

Blood test, sodium

Facility: De Tar Hospital Navarro

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $7
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at De Tar Hospital Navarro is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.46x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$68

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: $68 (1414%)
Insurance Median: $7 (146%)
Cash: $68 (1414% 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
Blue Cross Blue Shield $4 - $56 83%
Medicaid / KanCare $4 - $13 83%
Scott & White $4 83%
Superior $4 - $10 83%
UnitedHealthcare $4 - $76 83%
Aetna $5 - $152 104%
American Health Mcr Adv $5 104%
Department Of Veterans Affairs $5 104%
Humana $5 104%
Medicare (plans) $5 104%
Node Amerigroup Mcr Adv $5 104%
Node Hospice Non Par Agree $5 104%
Node Procare Mcr Adv $5 104%
Node Triwest $5 104%
Node Va $5 104%
Provider Partners Health Plan $5 104%
Tricare $5 104%
Veterans Eval Services $5 104%
Industrial Rehab $6 125%
Node Us Dept Of Labor $6 125%
Node Brookshire Brothers $8 166%
Node Brookshire Brothers Work Comp Tx $9 187%
Amerigroup $10 208%
Work Comp $10 208%
Elap $11 229%
Dars $61 1268%
Tx Workforce Commission $61 1268%
Cigna $63 - $114 1310%
Healthsmart $146 - $186 3035%
Multiplan $173 - $213 3597%
First Health $181 3763%
Medcorp Southwest Inc $186 3867%
Sane $250 5198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals