CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Gadsden Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Gadsden Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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%)
Cash / Self-Pay: $65 (837%)
Insurance Median: $8 (103%)
Cash: $65 (837% of Medicare)
Ins. Median: $8 (103% 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.

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
Medicaid / KanCare $5 64%
Tricare $6 77%
Bc Pml $7 90%
Node Champva $7 90%
UnitedHealthcare $7 - $8 90%
Aetna $8 - $225 103%
Amedisys Hospice $8 103%
Blue Cross Blue Shield $8 103%
Cigna $8 - $49 103%
Gadsden Hospice $8 103%
Humana $8 103%
Medicare (plans) $8 103%
Node Clover Health Mcr Adv $8 103%
Node Devoted Health Mcr Adv $8 103%
Node Eon Mcr Adv $8 103%
Node Non Par Hospice Agree $8 103%
Node Select Health Mcr Adv $8 103%
Node Va $8 103%
Node Viva Mcr Adv $8 103%
Node Wellcare Mcr Adv $8 103%
Prime Health $8 - $314 103%
Southern Care Hospice $8 103%
Veterans Eval Services $8 103%
Node Us Dept Of Labor $10 129%
Ambetter / Centene $12 154%
Self Pay $52 - $78 669%
American Employee Alliance $174 2239%
Multiplan $243 - $273 3127%
Magellan Behavioral $260 3346%
Viva Healthcare $260 3346%
First Health $304 - $350 3912%
Beech Street $317 - $1,525 4080%
Alamed Wc $326 4196%
Focus Health $332 4273%
Coventry Work Comp Al $339 4363%
Work Comp $369 4749%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals