CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Abbeville General Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $12
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Abbeville General Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $8 (103%)
Insurance Median: $12 (154%)
Cash: $8 (103% of Medicare)
Ins. Median: $12 (154% 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 $4 - $35 51%
Cigna $5 - $45 64%
Self Pay $5 - $46 64%
Aetna $7 - $64 90%
Humana $7 - $69 90%
Triwest Healthcare Alliance $7 90%
American Lifecare (Phcs) $8 - $73 103%
Gilsbar Ppo $8 - $71 103%
Healthy Blue $8 103%
Magellan Behavioral Health $8 103%
Medicare (plans) $8 103%
People'S Health $8 103%
Ppo Plus $8 - $69 103%
Sierra Health And Life Insurance $8 103%
Sterling Life Insurance Company $8 103%
United Behavioral Health Inc $8 - $69 103%
UnitedHealthcare $8 - $73 103%
Verity Healthnet National $8 - $69 103%
Coventry Company $9 - $78 116%
Galaxy Health Network $9 - $78 116%
Guardian Resources $9 - $73 116%
Usa Managed Care $9 - $78 116%
Health Payors Organization $10 - $82 129%
Miscellaneous Insurance $11 - $91 142%
Ppo Plus Professional $11 - $13 142%
Wellcare Of Louisiana $11 - $91 142%
Vantage Health Plan $16 - $164 206%
Office Of Group Benefits $21 270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals