Blood test, complete blood count (CBC)
Facility: Northern Louisiana Medical Center
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $250
- Cash Discount Price: $196
- vs. Medicare Baseline: 32.18x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 3218% of the Medicare baseline (a markup of 3118%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $6 - $8 | 77% |
| Champus | $6 | 77% |
| Champva | $6 | 77% |
| Golden Rule Ins | $7 - $215 | 90% |
| UnitedHealthcare | $7 - $215 | 90% |
| Humana | $8 - $56 | 103% |
| Medicare (plans) | $8 | 103% |
| Vantage Advantage | $8 | 103% |
| Medicaid / KanCare | $8 - $357 | 103% |
| Aetna | $8 - $214 | 103% |
| Mutual of Omaha | $8 | 103% |
| Blue Cross Blue Shield | $8 - $51 | 103% |
| Gulf South Services | $8 | 103% |
| VA | $8 | 103% |
| Veterans Evaluation Svcs | $8 | 103% |
| Vantage Health Plan Ppaca | $15 | 193% |
| Vantage Health Plan | $16 | 206% |
| First Health | $16 - $303 | 206% |
| Verity Healthnet | $175 | 2252% |
| Cigna | $178 | 2291% |
| Kaiser Permanente | $178 | 2291% |
| Gilsbar | $196 | 2523% |
| Self Pay | $196 | 2523% |
| Geha | $286 - $339 | 3681% |
| Multiplan | $303 | 3900% |
| PHCS | $303 | 3900% |
| Workers Compensation | $321 | 4131% |
| Work Comp First Health | $321 | 4131% |
| Work Comp Nlmc Emp | $321 | 4131% |
| Work Comp City of Ruston | $321 | 4131% |
| United Teachers Ins | $357 | 4595% |
| Gmp Employers Retiree Tru | $357 | 4595% |
| State Farm Insurance | $357 | 4595% |
| Ltu Student Ins Bollinger | $357 | 4595% |
| Hospice of Caring Hearts | $357 | 4595% |
| Newera | $357 | 4595% |
| Bankers Life and Casualty | $357 | 4595% |
| Liberty Healthshare | $357 | 4595% |
| Principal Mutual Life Ins | $357 | 4595% |
| United American | $357 | 4595% |
| Premier Hospice | $357 | 4595% |
| American Life Accident | $357 | 4595% |
| Ruston Regional Specialty | $357 | 4595% |
| Specialty Hosp of Winnfie | $357 | 4595% |
| Sterling Investors Life | $357 | 4595% |
| The Hartford | $357 | 4595% |
| Industrial Accounts | $357 | 4595% |
| Union Bankers Insurance C | $357 | 4595% |
| Fox Everett Inc | $357 | 4595% |
| Ltu Athletics | $357 | 4595% |
| Mva Insurance Payors | $357 | 4595% |
| Benefit Trust Life | $357 | 4595% |
| Crime Victims Compensatio | $357 | 4595% |
| Physicians Mutual Ins | $357 | 4595% |
| Nalc Health Benefit Plan | $357 | 4595% |
| Nlmc Community Services | $357 | 4595% |
| Ima Insurance | $357 | 4595% |
| Aflc American Family Life | $357 | 4595% |
| Equitable | $357 | 4595% |
| Guarantee Trust Life Ins | $357 | 4595% |
| Gsu Athletics | $357 | 4595% |
| Lifecare Specialty Hosp | $357 | 4595% |
| Washington National Ins | $357 | 4595% |
| McR American Hlth Adv | $357 | 4595% |
| Healthfirst Tpa | $357 | 4595% |
| State Mutual Ins | $357 | 4595% |
| Apwu Health Plan | $357 | 4595% |
| Misc Commercial | $357 | 4595% |
| Aarp | $357 | 4595% |
| Us Dept of Labor | $357 | 4595% |
| Liberty Mutual Group | $357 | 4595% |
| Nalc Natl Assoc Ltr Carri | $357 | 4595% |
| Lin Parish Detention | $357 | 4595% |
| Union Fidelity Life Ins | $357 | 4595% |
| Protective Life Ins | $357 | 4595% |
| Lincoln Kidney Center | $357 | 4595% |