CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Tift Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $11
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Tift Regional Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $35 (450%)
Insurance Median: $11 (142%)
Cash: $35 (450% of Medicare)
Ins. Median: $11 (142% 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
Blue Cross Blue Shield $2 - $224 26%
Humana $3 - $112 39%
Self Pay 50 $3 - $112 39%
Va Contract $4 - $6 51%
Aetna $5 - $194 64%
Cigna $5 - $205 64%
Misc Commercial Insurance Plans $5 - $202 64%
Peach State Health Plan $5 64%
Self Pay $5 - $202 64%
UnitedHealthcare $5 - $189 64%
Caresource Marketplace Exchange $6 - $12 77%
Clover Health $6 - $8 77%
Health One Alliance $6 - $11 77%
Hospice $6 - $8 77%
Medicare (plans) $6 - $8 77%
Misc Non Contracted Commercial Plans $6 - $224 77%
Pruitt Health Premier $6 - $8 77%
Tricare $6 - $7 77%
Wellcare $6 - $11 77%
Zelis Network Solutions $6 - $16 77%
Amerigroup $11 142%
Medicaid / KanCare $11 142%
Peachstate $11 142%
Caresource $12 154%
Ga Workers Comp $13 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals