CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Adventist Health Reedley

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $11
Cash Discount Price: $33
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Adventist Health Reedley is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $33 (425%)

Insurance Median: $11 (142%)

Cash: $33 (425% of Medicare)

Ins. Median: $11 (142% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet Medi-Cal	$1 - $35	13%
Bc Mcal	$3	39%
Blue Shield Epn - All Other Plans	$3 - $103	39%
Blue Shield Non Epn	$3 - $119	39%
Healthnet- All Other Plans	$3 - $101	39%
Kaiser - All Other Plans	$3 - $116	39%
UnitedHealthcare	$3 - $98	39%
Western Growers/Pinnacle- All Plans	$3 - $107	39%
Cigna	$4 - $151	51%
Physicians Med Group Op/Profee Only- All Plans	$5 - $186	64%
Cal Viva Hlth Mcal - All Plans	$7 - $9	90%
Community Care Ipa Mcal-All Plans	$7 - $12	90%
Dignity Mcal Op/Profee Only-All Other Plans	$7 - $10	90%
Kern Health Systems Mcal-All Plans	$7 - $9	90%
Medi-Cal	$7 - $9	90%
Blue Shield Mcare	$8	103%
Dignity Mcr Adv Op/Profee Only	$8	103%
Fhcn Pace Mcr Adv-All Plans	$8	103%
Healthnet- Mcr Adv	$8	103%
Kaiser Mcr Adv	$8	103%
Phs Prime Health Srvcs	$8	103%
Tricare	$8	103%
Bright Health Mcr Adv - All Plans	$12	154%
Aetna	$13 - $45	167%
Ah Employee Health Plan - All Plans	$14	180%
Blue Cross Blue Shield	$35 - $100	450%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Reedley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.