CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Mat-Su Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $232
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 29.86x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Mat-Su Regional Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 29.86x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $135 (1737%)
Insurance Median: $232 (2986%)
Cash: $135 (1737% of Medicare)
Ins. Median: $232 (2986% 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 2986% of the Medicare baseline (a markup of 2886%). 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.

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
Medicaid / KanCare $8 103%
Medicare (plans) $8 103%
Node Non Par Hospice Agree $8 103%
Node Triwest $8 103%
Node Va $8 103%
Veterans Eval Services $8 103%
Node Champva $9 116%
Tricare $9 116%
Node Us Dept Of Labor $15 193%
Aetna $91 1171%
Self Pay $101 - $169 1300%
Ak Dept Of Corrections $186 2394%
Blue Cross Blue Shield $190 - $206 2445%
Hccmca $203 2613%
Multiplan Phcs $257 3308%
Moda Assurance $267 3436%
Cigna $268 3449%
Carlie Trans Grp $287 3694%
UnitedHealthcare $287 3694%
First Choice Health $304 3912%
Multiplan Mpi $308 3964%
Plan Vista Solutions $314 4041%
Multiplan Wc $321 4131%
One Health $321 4131%
First Health Group $324 4170%
Medical Control Network Solutions $324 4170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals