CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Neshoba County General Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $9
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Neshoba County General Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $36 (463%)
Insurance Median: $9 (116%)
Cash: $36 (463% of Medicare)
Ins. Median: $9 (116% 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.

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
Magnolia Mcaid $7 90%
Molina Mcaid $7 90%
Mpcn Mcaid $7 90%
Tricare $7 90%
UnitedHealthcare $7 - $26 90%
Humana $8 103%
Magnolia Mcr Adv-All Other Plans $8 103%
Molina Comm-All Other Plans $8 103%
Molina Mcr Adv $8 103%
Wellcare Mcr Adv-All Plans $8 103%
First Choice Comm Ip/Op Only - All Plans $10 129%
Aetna $26 335%
Cigna $34 438%
Ahs Ip/Op Only-All Plans $39 502%
Blue Cross Blue Shield $42 541%
Affordable Health Care-All Plans $44 566%
Health Choice Ip/Op Only-All Plans $44 566%
Health Link Ip/Op Only-All Plans $44 566%
Geha-All Plans $47 605%
Multiplan-All Plans $47 605%
Mpcn Ip/Op Only-All Other Plans $65 837%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL