CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Northern Louisiana Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $250
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 32.18x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Northern Louisiana Medical Center is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 32.18x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$196

Average discount available for prompt cash payment at this facility.

Insurance Median
$250

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: $196 (2523%)
Insurance Median: $250 (3218%)
Cash: $196 (2523% of Medicare)
Ins. Median: $250 (3218% 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 3218% of the Medicare baseline (a markup of 3118%). 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
Champus $6 77%
Champva $6 77%
Tricare $6 - $8 77%
Golden Rule Ins $7 - $215 90%
UnitedHealthcare $7 - $215 90%
Aetna $8 - $214 103%
Blue Cross Blue Shield $8 - $51 103%
Gulf South Services $8 103%
Humana $8 - $56 103%
Medicaid / KanCare $8 - $357 103%
Medicare (plans) $8 103%
Mutual Of Omaha $8 103%
Va $8 103%
Vantage Advantage $8 103%
Veterans Evaluation Svcs $8 103%
Vantage Health Plan Ppaca $15 193%
First Health $16 - $303 206%
Vantage Health Plan $16 206%
Verity Healthnet $175 2252%
Cigna $178 2291%
Kaiser Permanente $178 2291%
Gilsbar $196 2523%
Self Pay $196 2523%
Geha $286 - $339 3681%
Multiplan $303 3900%
Phcs $303 3900%
Work Comp City Of Ruston $321 4131%
Work Comp First Health $321 4131%
Work Comp Nlmc Emp $321 4131%
Workers Compensation $321 4131%
Aarp $357 4595%
Aflc American Family Life $357 4595%
American Life Accident $357 4595%
Apwu Health Plan $357 4595%
Bankers Life And Casualty $357 4595%
Benefit Trust Life $357 4595%
Crime Victims Compensatio $357 4595%
Equitable $357 4595%
Fox Everett Inc $357 4595%
Gmp Employers Retiree Tru $357 4595%
Gsu Athletics $357 4595%
Guarantee Trust Life Ins $357 4595%
Healthfirst Tpa $357 4595%
Hospice Of Caring Hearts $357 4595%
Ima Insurance $357 4595%
Industrial Accounts $357 4595%
Liberty Healthshare $357 4595%
Liberty Mutual Group $357 4595%
Lifecare Specialty Hosp $357 4595%
Lin Parish Detention $357 4595%
Lincoln Kidney Center $357 4595%
Ltu Athletics $357 4595%
Ltu Student Ins Bollinger $357 4595%
Mcr American Hlth Adv $357 4595%
Misc Commercial $357 4595%
Mva Insurance Payors $357 4595%
Nalc Health Benefit Plan $357 4595%
Nalc Natl Assoc Ltr Carri $357 4595%
Newera $357 4595%
Nlmc Community Services $357 4595%
Physicians Mutual Ins $357 4595%
Premier Hospice $357 4595%
Principal Mutual Life Ins $357 4595%
Protective Life Ins $357 4595%
Ruston Regional Specialty $357 4595%
Specialty Hosp Of Winnfie $357 4595%
State Farm Insurance $357 4595%
State Mutual Ins $357 4595%
Sterling Investors Life $357 4595%
The Hartford $357 4595%
Union Bankers Insurance C $357 4595%
Union Fidelity Life Ins $357 4595%
United American $357 4595%
United Teachers Ins $357 4595%
Us Dept Of Labor $357 4595%
Washington National Ins $357 4595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals