CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Stanford Health Care

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $17
Cash Discount Price: $98
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Stanford Health Care is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 2.19x the Medicare baseline. Located in 300 Pasteur Drive, Stanford, CA.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $98 (1261%)

Insurance Median: $17 (219%)

Cash: $98 (1261% of Medicare)

Ins. Median: $17 (219% 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 219% of the Medicare baseline (a markup of 119%). 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
Healthnet	$8	103%
Health Plan Of San Mateo [31200]	$12	154%
UnitedHealthcare	$13	167%
Cigna	$14	180%
Healthnet Alt Payer [912100000]	$16	206%
Healthnet [12100]	$16	206%
Beech St [10600]	$17	219%
Claritev [13400]	$17	219%
Kaiser Northern Ca [12900]	$17	219%
Private Healthcare Systems (Phcs) [14200]	$17	219%
American Specialty Health Plan Alt Payer [971000000]	$26	335%
Blue Card (Out Of State) - Blue Shield [40200]	$26	335%
Blue Cross Blue Shield	$26 - $30	335%
Blue Shield Alt Payer [970000000]	$26	335%
Blue Shield [70000]	$26	335%
Psych Blue Shield Alt Payer [970000100]	$26	335%
Aetna	$29	373%
Blue Card (Out Of State) [40000]	$30	386%
Shca Comm Intel [20300000]	$30	386%

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 $98.
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 Stanford Health Care 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.