CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $10
- Cash Discount Price: $318
- vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at AHMC Anaheim Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.29x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$318
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: $318 (4093%)
Insurance Median: $10 (129%)
Cash: $318 (4093% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Administration | $5 | 64% |
| Affiliated Doctors Of Orange County | $6 | 77% |
| Ahmc Reciprocity Agreement | $7 - $119 | 90% |
| Allied Physicians | $7 - $12 | 90% |
| Alta Los Angeles Hospital | $7 | 90% |
| Altamed Health Network | $7 - $8 | 90% |
| Applecare Medical Group | $7 | 90% |
| Beverly Hospital | $7 - $9 | 90% |
| Brand New Day | $7 - $10 | 90% |
| Health Net | $7 | 90% |
| Healthcare Partners | $7 - $8 | 90% |
| Healthy Way La | $7 | 90% |
| Heritage Provider Network | $7 - $10 | 90% |
| Kaiser Foundation Hospitals | $7 - $8 | 90% |
| Medical Safety Net Program | $7 | 90% |
| Non Contracted Medi-Cal | $7 | 90% |
| Prospect Health Plan | $7 - $10 | 90% |
| Prospect Medical Group | $7 | 90% |
| Talbert Medical Group | $7 - $8 | 90% |
| Aetna | $8 - $42 | 103% |
| Aids Health Foundation | $8 | 103% |
| Align Senior Care | $8 | 103% |
| Alignment Health Plan | $8 | 103% |
| Angels Baseball Workers Comp | $8 | 103% |
| Apa Aco Inc | $8 | 103% |
| Avanti | $8 - $9 | 103% |
| Blue Cross Blue Shield | $8 - $29 | 103% |
| Blue Shield Of California | $8 - $105 | 103% |
| California Health Plan | $8 | 103% |
| Caloptima | $8 - $10 | 103% |
| Central Health Of California | $8 | 103% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $8 | 103% |
| Davita Heatlhcare Partners Plan Inc | $8 - $214 | 103% |
| Emanate Health | $8 - $10 | 103% |
| Health Net Inc | $8 - $304 | 103% |
| Healthnet | $8 | 103% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $8 | 103% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $8 | 103% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 103% |
| Humana | $8 | 103% |
| Innovative Integrated Health (Iih)/Orange County Pace | $8 | 103% |
| Interplan | $8 - $277 | 103% |
| Medi-Cal | $8 | 103% |
| Medicare (plans) | $8 - $198 | 103% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $8 | 103% |
| Monarch Health Plan | $8 - $269 | 103% |
| Nchp | $8 | 103% |
| Pacificare | $8 | 103% |
| Private Pay Flat Rate | $8 | 103% |
| Scan Health Plan | $8 | 103% |
| Self-Pay | $8 | 103% |
| Seoul Medical Group | $8 | 103% |
| Tricare | $8 | 103% |
| Wellcare | $8 | 103% |
| Athens Administrators | $9 | 116% |
| Capp Care | $9 - $297 | 116% |
| Cigna | $9 | 116% |
| Corvel | $9 - $297 | 116% |
| First Health | $9 - $337 | 116% |
| Marriot Intl | $9 | 116% |
| Non Contracted Workers Comp | $9 | 116% |
| Orange County Preferred Provider Organization | $9 - $297 | 116% |
| Ahmc Health Self-Insurance Epo | $10 | 129% |
| Knox-Keene Act | $10 | 129% |
| UnitedHealthcare | $16 - $31 | 206% |
| Monarch Healthcare Medical Group | $19 | 245% |
| Msi/Medical Services For Indigents | $52 | 669% |
| Netcare Life And Health Insurance | $60 - $99 | 772% |
| Advance Clinical Research Institute | $72 - $119 | 927% |
| Memorial Healthcare Ipa | $72 - $119 | 927% |
| Medical Acquisition Company | $96 - $158 | 1236% |
| Healthcare Partners Commercial | $130 - $214 | 1673% |
| Huntington Memorial Hospital | $130 - $214 | 1673% |
| Genesis Healthcare Ipa Ancillary | $144 - $238 | 1853% |
| Affiliated Health Fund | $168 - $277 | 2162% |
| Allnet Preferred Provider | $168 - $277 | 2162% |
| Care First | $168 - $277 | 2162% |
| Private Healthcare Systems | $168 - $277 | 2162% |
| Choicecare | $180 - $297 | 2317% |
| Multiplan Inc | $180 - $297 | 2317% |
| National Provider Network | $192 - $317 | 2471% |
| Three Rivers Providers Network | $192 - $317 | 2471% |
| Health Payors Organization | $216 - $356 | 2780% |
| Non Contracted Commercial | $240 - $396 | 3089% |