CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Clovis Community Medical Center
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: $124
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Clovis Community Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$124
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%)
Cash / Self-Pay: $124 (1596%)
Insurance Median: $8 (103%)
Cash: $124 (1596% of Medicare)
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 |
|---|---|---|
| Blue Cross Blue Shield | $7 - $99 | 90% |
| Blue Shield | $7 - $88 | 90% |
| Cal Caloptima | $7 | 90% |
| Ccs Fresno | $7 | 90% |
| Ccs Kern | $7 | 90% |
| Ccs Kings | $7 | 90% |
| Ccs Madera/Sacramento | $7 | 90% |
| Ccs Mariposa | $7 | 90% |
| Ccs Merced | $7 | 90% |
| Ccs Stanislaus | $7 | 90% |
| Ccs Tulare | $7 | 90% |
| Chdp | $7 | 90% |
| Fresno County Funded Specialty Care | $7 | 90% |
| Generic Care Out Of County | $7 | 90% |
| Generic Ccs Other Counties | $7 | 90% |
| Genetically Handicapped Person | $7 | 90% |
| Gold Coast Medi-Cal | $7 | 90% |
| Medi-Cal Alameda Alliance For Health | $7 | 90% |
| Medi-Cal Blue Shield Promise Health | $7 | 90% |
| Medi-Cal California Health & Wellness Plan | $7 | 90% |
| Medi-Cal Cencal Health | $7 | 90% |
| Medi-Cal Community Health Group | $7 | 90% |
| Medi-Cal Contra Costa Health Plan | $7 | 90% |
| Medi-Cal Health Plan Of San Mateo | $7 | 90% |
| Medi-Cal Inland Empire Health | $7 | 90% |
| Medi-Cal Kern Family Health | $7 | 90% |
| Medi-Cal La Care Health | $7 | 90% |
| Medi-Cal Molina | $7 | 90% |
| Medi-Cal Partnership Health Plan Of Ca | $7 | 90% |
| San Francisco Health Plan Medi-Cal | $7 | 90% |
| Santa Clara Family Health Plan - Premier Health | $7 | 90% |
| Santa Clara Family Health Plan - Valley Health | $7 | 90% |
| Advantek Table Mountain Rancheria Tribal Member | $8 | 103% |
| Aetna | $8 - $40 | 103% |
| Blue Shield 65 Plus Hmo Ehs | $8 | 103% |
| Blue Shield 65 Plus Hmo First Choice | $8 | 103% |
| Blue Shield Hmo-Cvmp/Medpro | $8 | 103% |
| Blue Shield Promise - Imperial | $8 | 103% |
| Blue Shield Saint Agnes | $8 | 103% |
| Blue Shield Sante | $8 | 103% |
| Brand New Day | $8 | 103% |
| Bscphp - Dhmso | $8 | 103% |
| Bscphp - First Choice | $8 | 103% |
| Bscphp Hmo - First Choice | $8 | 103% |
| Care1St Hmo - Ehs | $8 | 103% |
| Cares Act Provider Relief Fund | $8 | 103% |
| Cigna | $8 - $96 | 103% |
| Gemcare Hmo | $8 | 103% |
| Generic | $8 | 103% |
| Generic Bscphp | $8 | 103% |
| Generic Victims Of Crime | $8 | 103% |
| Hartford Life Supplement | $8 | 103% |
| Healthnet Hmo - Cvmp/Medpro | $8 | 103% |
| Healthnet Hmo - Dhmso | $8 | 103% |
| Healthnet Hmo - La Salle | $8 | 103% |
| Healthnet Hmo - Sante | $8 | 103% |
| Healthnet Sante | $8 | 103% |
| Healthnet Sante - Sub Cap Dual Risk | $8 | 103% |
| Healthnet Sante Dual Risk | $8 | 103% |
| Humana | $8 - $132 | 103% |
| Kaiser | $8 | 103% |
| Medi-Cal Innovative Integrated Health | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Meritage Blue Shield 65 Plus | $8 | 103% |
| Meritage Brand New Day | $8 | 103% |
| Meritage Healthnet Hmo | $8 | 103% |
| Railroad Part A | $8 | 103% |
| Railroad Part A & B | $8 | 103% |
| Railroad Part B | $8 | 103% |
| Sante | $8 - $10 | 103% |
| Sante Sub Cap Healthnet Seniority | $8 | 103% |
| Sante Sub Cap-Blue Shield/Sante | $8 | 103% |
| Sante-Blue Shield/Sante | $8 | 103% |
| Sante-Healthnet Seniority | $8 | 103% |
| Sante-Sub Cap Ma Brand New Day | $8 | 103% |
| Scan Health Plan | $8 | 103% |
| Sequoia Pace - Peak Tpa | $8 | 103% |
| Todays Pyramid | $8 | 103% |
| UnitedHealthcare | $8 - $81 | 103% |
| Us Marshal | $8 | 103% |
| Victims Of Crime | $8 | 103% |
| Wellcare | $8 | 103% |
| Alignment Health Plan | $9 | 116% |
| Champion Health Plan Of California Ma | $9 | 116% |
| Imperial Health Plan Hmo | $9 | 116% |
| Innovative Integrated Health Community Plans Hmo | $9 | 116% |
| Correctcare Integrated Health | $10 | 129% |
| Health Plan Of San Joaquin | $10 | 129% |
| Sequoia Pace | $10 | 129% |
| Adventist -Mcl Calviva Sub Cap | $11 | 142% |
| Healthnet | $13 - $91 | 167% |
| Coalinga State Hospital | $16 | 206% |
| Naphcare Inc-Mendota | $17 | 219% |
| Central Valley Medical Providers | $39 - $108 | 502% |
| Community Care | $40 | 515% |
| Employer 90/40 | $62 | 798% |
| Central Ca Indian Health | $85 | 1094% |
| Nx Health Network Ppo | $85 | 1094% |
| Healthsmart | $105 - $124 | 1351% |
| Coventry Health Care (First Health Network) | $116 | 1493% |
| Network By Design | $116 | 1493% |
| Generic Multiplan | $132 | 1699% |
| Phcs | $132 | 1699% |
| Well Path (Cfmg) | $170 | 2188% |