CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Flowers Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $13
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Flowers Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.67x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $52 (669%)
Insurance Median: $13 (167%)
Cash: $52 (669% of Medicare)
Ins. Median: $13 (167% 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 $3 - $5 39%
Alabama Rehab $5 64%
Tricare $6 77%
Bc Pml $7 90%
Node Champva $7 90%
UnitedHealthcare $7 - $8 90%
Aetna $8 - $169 103%
Blue Cross Blue Shield $8 103%
Care Improvement Plus $8 103%
Cigna $8 - $13 103%
Compassionate Hands $8 103%
Covenant Hospice $8 103%
Dayspring Hospice $8 103%
Eon Health Care $8 103%
Humana $8 103%
Medicare (plans) $8 103%
Node Clover Health Mcr Adv $8 103%
Node Devoted Health Mcr Adv $8 103%
Node Hospice Non Par $8 103%
Node Va $8 103%
Node Viva Mcr Adv $8 103%
Node Wellcare Mcr Adv $8 103%
Occunet $8 103%
Prime Health $8 - $164 103%
Select Health $8 103%
Southern Care Hospice $8 103%
Veterans Eval Services $8 103%
Vistacare Hospice $8 103%
Wiregrass Hospice $8 103%
Node Us Dept Of Labor $10 129%
Ambetter / Centene $12 154%
Self Pay $35 - $70 450%
S & S Healthcare $58 746%
Choicecare Commercial $81 1042%
American Employee Alliance $93 1197%
Coventry Healthcare $116 - $177 1493%
Viva Health $139 1789%
Multiplan $151 - $186 1943%
Standard Textile $162 2085%
Alamed Wc $164 2111%
Health Choice $169 2175%
Equian $174 - $183 2239%
Qhp $174 2239%
Novanet $186 2394%
Alabama Work Comp $193 2484%
Ccn/Mednet Ppo $197 2535%
Corvel $197 2535%
Industry Buying Group $197 2535%
Galaxy Health $209 2690%
Health Payors Org $209 2690%
National Provider Net $209 2690%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals