CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $14
Cash Discount Price: $31
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Ochsner Stennis Memorial Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $31 (399%)

Insurance Median: $14 (180%)

Cash: $31 (399% of Medicare)

Ins. Median: $14 (180% 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.

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
UnitedHealthcare	$3 - $35	39%
Humana	$6 - $41	77%
Medicaid / KanCare	$7 - $8	90%
Cigna	$8 - $41	103%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$8 - $41	103%
Medicare (plans)	$8 - $47	103%
Primewell Health Services Commercial Exchange Plan	$8 - $46	103%
Primewell Health Services – Commercial	$8 - $46	103%
Shared Health Mississippi	$8 - $43	103%
Prime Health Services Ppo	$9 - $54	116%
Ambetter / Centene	$11 - $41	142%
Blue Cross Blue Shield	$11	142%
Aetna	$14 - $44	180%
Cor Vel	$14	180%
Prime Health Services Ppo -Workers Comp	$14	180%
Select Administrative Services Network	$15 - $48	193%
Claritev D/B/A Multiplan/Phcs/American Life Care	$16 - $51	206%
Zelis	$16 - $51	206%

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 $31.
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 Ochsner Stennis Memorial Hospital 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.