CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Parkview Community Hospital Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $10
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Parkview Community Hospital Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.29x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.
Cash / Self-Pay
$171

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: $171 (2201%)
Insurance Median: $10 (129%)
Cash: $171 (2201% 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
Iehp $6 - $10 77%
Central Health Plan $7 90%
Humana $7 90%
Aetna $8 - $250 103%
Alignment $8 103%
Blue Cross Blue Shield $8 - $41 103%
Blue Shield $8 - $83 103%
Champus $8 103%
Health Net $8 - $11 103%
Medi-Cal $8 103%
Medicare (plans) $8 103%
Molina Covered Ca $8 103%
Molina Medi-Cal $8 103%
Molina Senior $8 103%
Scan $8 103%
Regal $9 - $85 116%
Cigna $15 193%
UnitedHealthcare $16 - $61 206%
Ahmc $51 656%
Blue Shield Ppo $81 1042%
Self Pay $171 2201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3865 Jackson Street, Riverside, CA 92503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals