CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Bayou Bend Health System

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $24
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 3.09x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Bayou Bend Health System is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 3.09x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $25 (322%)
Insurance Median: $24 (309%)
Cash: $25 (322% of Medicare)
Ins. Median: $24 (309% 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 309% of the Medicare baseline (a markup of 209%). 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
UnitedHealthcare $7 - $42 90%
Tricare $9 - $38 116%
Aetna $10 - $58 129%
Blue Cross Blue Shield $10 - $60 129%
Dignity Mcr Adv Ip/Op Only-All Plans $10 - $42 129%
Humana $10 - $55 129%
Sterling Hp Mcr Adv Ip/Op Only-All Plans $10 - $42 129%
Verity Healthnet Mcr Adv Ip/Op Only $10 - $42 129%
Wellcare Mcr Allwell Ip/Op Only-All Plans $10 - $42 129%
Ambetter / Centene $12 - $49 154%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans $15 - $60 193%
Cigna $15 - $60 193%
La Health Mcaid Ip/Op Only $15 - $60 193%
Verity Healthnet Mcaid Ip/Op Only $15 - $60 193%
Diocese Of Lafaytte Ip/Op Only-All Plans $16 - $64 206%
Gilsbar 360 Ip/Op Only-All Plans $16 - $64 206%
Verity Healthnet Ip/Op Only-All Other Plans $16 - $64 206%
Ccn/First Health Ip/Op Only-All Plans $17 - $68 219%
Integrated Hp Multiplan Ip/Op Only-All Plans $17 - $68 219%
Ppo Plus / Zelis Ip/Op Only-All Plans $17 - $68 219%
Geha Ppo Ip/Op Only-All Plans $18 - $72 232%
Usa Mco Ip/Op Only-All Plans $18 - $72 232%
Galaxy Ip/Op Only-All Plans $19 - $76 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1097 Northwest Blvd, Franklin, LA 70538
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals