CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: University of Alabama Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $95
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.23x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at University of Alabama Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 12.23x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Insurance Median: $95 (1223%)
Ins. Median: $95 (1223% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1223% of the Medicare baseline (a markup of 1123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $7 - $162 90%
Birmingham Fc $8 103%
Blue Cross Blue Shield $8 103%
Cigna $8 - $127 103%
Cooper Green $8 103%
Davita Villagehealth $8 103%
Jefferson County Sheriff $8 103%
Triwest $8 103%
UnitedHealthcare $8 - $103 103%
Viva $8 - $9 103%
Ambetter / Centene $11 142%
University Of Alabama $38 - $95 489%
Aetna $46 - $116 592%
Coventry $49 - $153 631%
North Alabama Managed Care $49 - $124 631%
Comp One $55 - $137 708%
Alamed $57 - $142 734%
Construction Claims Management $57 - $142 734%
Corvel $61 - $152 785%
Evolutions $61 - $171 785%
Healthcare Alliance $61 - $152 785%
Novanet $61 - $171 785%
Prime Health Services $61 - $171 785%
Select Value Care $61 - $152 785%
Starcare $61 - $152 785%
Tethys $61 - $152 785%
Multiplan $62 - $156 798%
Department Of Labor $65 - $162 837%
Geha $65 - $162 837%
Gulf Health Plans $65 - $162 837%
Heritage Summit Health $65 - $162 837%
Mississippi Physicians $65 - $162 837%
Phifer $65 - $162 837%
Preferred Health Partnership $65 - $162 837%
Southern Nuclear $65 - $162 837%
Vantage Health Plan $65 - $162 837%
Galaxy Health Network $68 - $171 875%
National Provider Network $68 - $171 875%
North Mississippi Health Link $68 - $171 875%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals