CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Oakdale Community Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $61
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 7.85x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Oakdale Community Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 7.85x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $26 (335%)
Insurance Median: $61 (785%)
Cash: $26 (335% of Medicare)
Ins. Median: $61 (785% 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 785% of the Medicare baseline (a markup of 685%). 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
Aarp $7 90%
All Savers Insurance $7 90%
Geha $7 90%
United Hc Shared Services $7 90%
UnitedHealthcare $7 - $29 90%
Aetna $8 - $74 103%
Allegiance Hospice $8 103%
Allen Oaks Hospice $8 103%
Ambetter / Centene $8 103%
Blue Cross Blue Shield $8 - $10 103%
Champva $8 103%
Compassionate Care Hospic $8 103%
Correct Care $8 - $132 103%
Golden Rule $8 103%
Harbor Hospice $8 103%
Healthy Blue Dual Adv $8 103%
Heart Of Hospice $8 103%
Hos Misc Hospice $8 103%
Humana $8 - $83 103%
Ice Health Service Corp $8 103%
Mcr American Hlth Adv $8 103%
Mcr Lagniappe $8 103%
Medicaid / KanCare $8 - $29 103%
Medicare (plans) $8 103%
Mutual Of Omaha $8 103%
Snf Nursing Home $8 103%
St Francis Nursing Home $8 103%
Triwest $8 - $132 103%
Us Family Health Plan $8 - $132 103%
Wellcare $8 103%
Wellcare Of Louisiana $8 103%
Gulf South Risk Svcs Ip $10 129%
Integrated Med Solutions $11 142%
Hawaii Mainland Administr $12 154%
Meritain $13 - $74 167%
Amfirst $26 335%
Self Pay $26 335%
Web-Tpa $65 - $66 837%
Cigna $71 - $74 914%
Ima $78 - $132 1004%
Ppo Plus $78 - $79 1004%
Wc Gulf South Risk Srvcs $117 - $119 1506%
Wc Martco $117 - $119 1506%
Wc Misc $117 - $119 1506%
Wc Risk Mgmnt-Baton Rouge $117 - $119 1506%
Wc Sedwick Workmans Comp $117 - $119 1506%
Wc Us Department Of Labor $117 - $119 1506%
American Public Life $130 - $132 1673%
American Retirement Life $130 - $132 1673%
Apwu $130 - $132 1673%
Auto Liability $130 - $132 1673%
Bankers Life $130 - $132 1673%
Fox Everitt $130 - $132 1673%
Mailhandlers Benefit Plan $130 - $132 1673%
Medishare $130 - $132 1673%
Medplus $130 - $132 1673%
Misc Commerical $130 - $132 1673%
Phcs $130 - $132 1673%
Physicians Mutual $130 - $132 1673%
State Farm-La $130 - $132 1673%
Usaa $130 - $132 1673%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals