CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Jeff Davis Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $117
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 15.06x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Jeff Davis Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 15.06x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $51 (656%)
Insurance Median: $117 (1506%)
Cash: $51 (656% of Medicare)
Ins. Median: $117 (1506% 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 1506% of the Medicare baseline (a markup of 1406%). 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
Blue Cross Blue Shield $8 - $80 103%
Care_Improvement_Plus $8 103%
Humana $8 - $136 103%
Medicare (plans) $8 103%
Medicaid / KanCare $10 - $32 129%
Peach_State $28 - $32 360%
Wellcare $28 - $32 360%
Coventry_Hmo $98 - $112 1261%
Coventry_Pos $98 - $112 1261%
Uhc_Hmo $105 - $120 1351%
Uhc_Indemnity $105 - $120 1351%
Uhc_Ppo $105 - $120 1351%
Coventry_Ppo $108 - $123 1390%
Beech_Street $112 - $128 1441%
Care_Source $112 - $128 1441%
Cigna $112 - $128 1441%
One_Health_Ppo $112 - $128 1441%
Choicecare $119 - $136 1532%
Community_Care_Network $119 - $136 1532%
Georgia_Hospital_Network $119 - $136 1532%
Industry_Buying_Group $119 - $136 1532%
Novanet $119 - $136 1532%
Principal_Health_Care_Of_Georgia $119 - $136 1532%
Three_Rivers_Provider_Network $119 - $136 1532%
Usa_Managed_Care $119 - $136 1532%
Memorial_Health_Partners $126 - $144 1622%
Tricare $130 - $148 1673%
Multiplan $133 - $152 1712%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals