CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Bienville Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $58
Cash Discount Price: $64
vs. Medicare Baseline: 7.46x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Bienville Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 7.46x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $64 (824%)

Insurance Median: $58 (746%)

Cash: $64 (824% of Medicare)

Ins. Median: $58 (746% 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 746% of the Medicare baseline (a markup of 646%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$6 - $106	77%
Medicaid / KanCare	$6 - $8	77%
Mmd Amerihealth Caritas	$6 - $8	77%
Mmd Healthy Blue	$6 - $8	77%
Mmd La Hlth Conn	$6 - $8	77%
Mmd Misc	$6 - $8	77%
UnitedHealthcare	$6 - $58	77%
Ambetter / Centene	$8 - $58	103%
Humana	$8 - $69	103%
Mcr American Hlth Adv	$8 - $58	103%
Medicare (plans)	$8 - $58	103%
Misc Mgd Care	$8 - $106	103%
Mmc Blue Advantage	$8 - $58	103%
Mmc Misc	$8 - $58	103%
Peoples Health Mcr Adv	$8 - $58	103%
Va Health	$8 - $58	103%
Cashiering	$43 - $64	553%
Cigna	$53	682%
Blue Cross Blue Shield	$64	824%
Wc City Of Arcadia	$96	1236%
Wc House Of Raeford	$96	1236%
Wc Misc	$96	1236%
Wc Stonetrust	$96	1236%
Aarp	$106	1364%
Allegiance Health Managme	$106	1364%
Amfirst	$106	1364%
Apwu	$106	1364%
Liberty Mutual	$106	1364%
Misc Comm A-L	$106	1364%
Misc Comm M-Z	$106	1364%
Tricare	$106	1364%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $64.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bienville Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.