CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Alliancehealth Madill

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $10
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Alliancehealth Madill is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.29x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $69 (888%)
Insurance Median: $10 (129%)
Cash: $69 (888% of Medicare)
Ins. Median: $10 (129% 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
Blue Cross Blue Shield $1 - $82 13%
Preferred Community Choice Ppo $1 - $58 13%
Humana $2 - $80 26%
Medicare (plans) $2 - $80 26%
Node Champva $2 - $84 26%
Node Global Health Mcr Adv $2 - $80 26%
Node Indian Health Service Managed Care $2 - $81 26%
Node Va $2 - $187 26%
Tricare $2 - $84 26%
UnitedHealthcare $2 - $81 26%
Self Pay $3 - $135 39%
Coventry $4 - $194 51%
Globalhealth $5 - $240 64%
Healthcare Highways $5 - $242 64%
Phcs $5 - $271 64%
Aetna $6 - $310 77%
First Health $6 - $317 77%
Multiplan $6 - $302 77%
Cigna $7 - $329 90%
Evolutions Healthcare Systems $7 - $329 90%
Medicaid / KanCare $7 90%
Healthchoice $10 129%
Node Us Dept Of Labor $10 129%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals