CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Saint Francis Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Saint Francis Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 3630 East Imperial Highway, Lynwood, CA.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $7 (90%)
Insurance Median: $8 (103%)
Cash: $7 (90% of Medicare)
Ins. Median: $8 (103% 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
Aids Healthcare Foundation $8 103%
Alignment $8 103%
Altamed $8 103%
Avanti Hospitals, Llc $8 103%
Blue Shield Of Ca, Va $8 103%
Blue Shield Of Promise $8 103%
Brand New Day $8 - $12 103%
Elite Health Plan $8 103%
Health Net Of Ca $8 - $10 103%
Imperial Health Plan Of Ca $8 103%
Kaiser Hospital Foundation $8 103%
La Care Health Plan $8 - $10 103%
Medicare (plans) $8 103%
Molina $8 103%
Renal Payer Solutions $8 103%
Traditional Medi-Cal $8 103%
Tricare $8 103%
UnitedHealthcare $8 - $13 103%
Welbe Health Pace $8 103%
Coventry Healthcare Wc, Inc. $10 129%
Heritage Provider Network $10 129%
Multiplan $10 129%
Worker Comp $10 129%
Blue Cross Blue Shield $11 142%
Aetna $12 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3630 East Imperial Highway, Lynwood, CA 90262
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals