CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Loma Linda University Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $31
Cash Discount Price: $65
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Loma Linda University Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 3.99x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $65 (837%)

Insurance Median: $31 (399%)

Cash: $65 (837% of Medicare)

Ins. Median: $31 (399% 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 399% of the Medicare baseline (a markup of 299%). 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
UnitedHealthcare	$6 - $8	77%
Adventist Health	$8 - $29	103%
Alpha Care Medical Group	$8 - $12	103%
Dignity Health	$8 - $12	103%
Epic Health Plan	$8 - $58	103%
Inland Empire Health Plan (Iehp)	$8 - $12	103%
Kaiser Foundation Hospitals	$8 - $97	103%
Prime Health Services	$8 - $124	103%
Upland Medical Group	$8	103%
Vantage Medical Group	$8 - $12	103%
Riverside University Health System	$9	116%
Lluh Dept Of Risk Management	$10 - $29	129%
Molina Healthcare Of Ca	$10	129%
Blue Cross Blue Shield	$11 - $57	142%
Heritage Provider Network	$13	167%
Blue Shield Of California	$21 - $32	270%
Global Benefits Group	$31 - $87	399%
Temecula Valley Physicians Medical Group	$31	399%
Trivalley Medical Group	$31	399%
Aetna	$32	412%
Cigna	$33 - $38	425%
Networks By Design	$34 - $95	438%
Multiplan	$39 - $109	502%
Central Health Plan	$42 - $117	541%
Galaxy Health	$44 - $124	566%
Health Management Network	$47 - $131	605%

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 $65.
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 Loma Linda University Medical Center 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.