CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Good Samaritan Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Good Samaritan Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $8 (103%)
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
Aetna $8 - $40 103%
Affinity Medical Group $8 103%
Alignment Health Plan $8 103%
Blue Cross Blue Shield $8 - $41 103%
Blue Shield $8 - $14 103%
Care1St Health Plan $8 103%
Central Health Plan $8 103%
Clever Care Of Golden State $8 103%
Easy Choice Health Plan $8 103%
Humana $8 103%
Managed Health Network $8 103%
On Lok Senior Health $8 103%
Palo Alto Medical $8 - $10 103%
Santa Clara Family Health Plan $8 103%
Scan Health Plan $8 103%
Triwest Healthcare Alliance $8 103%
United $8 103%
University Healthcare $8 103%
Vitality Health Plan $8 103%
Corvel Corporation $9 116%
Health Net $9 116%
Physicians Medical Group $9 116%
Affinity Medical Group Comm $10 129%
Canopy $14 180%
Bright Health $16 206%
Cigna $81 1042%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals