CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Adventist Health Ukiah Valley

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $81
Cash Discount Price: $31
vs. Medicare Baseline: 10.42x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Adventist Health Ukiah Valley is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 10.42x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $31 (399%)

Insurance Median: $81 (1042%)

Cash: $31 (399% of Medicare)

Ins. Median: $81 (1042% 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 1042% of the Medicare baseline (a markup of 942%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Shield Epn-All Other Plans	$3 - $80	39%
Blue Shield Non-Epn	$3 - $81	39%
Healthnet-All Plans	$4 - $120	51%
Mendocino Lcc District-All Plans	$4 - $136	51%
Western Growers-All Plans	$4 - $109	51%
Cigna	$5 - $163	64%
Foundation For Medical Care-All Plans	$5 - $157	64%
Kaiser-All Other Plans	$5 - $167	64%
Networks By Design-All Plans	$5 - $167	64%
Phcs Multiplan-All Plans	$5 - $167	64%
UnitedHealthcare	$5 - $175	64%
Beech Street-All Plans	$6 - $178	77%
Choice Care-All Plans	$6 - $178	77%
Health Mgmt Network-All Plans	$6 - $178	77%
Interplan-All Plans	$6 - $171	77%
Three Rivers-All Plans	$6 - $188	77%
Kaiser Medi-Cal	$7 - $9	90%
Medi-Cal	$7 - $9	90%
Blue Shield Mcr Adv	$8	103%
Kaiser Mcr Adv	$8	103%
Tricare	$8	103%
Ah Employee Health Plan - All Plans	$14	180%
Aetna	$68	875%
Blue Cross Blue Shield	$79 - $105	1017%

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 $31.
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 Ukiah Valley 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.