CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Menifee Global Medical Center
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $9
- Cash Discount Price: $193
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Menifee Global Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$193
Average discount available for prompt cash payment at this facility.
Insurance Median
$9
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: $193 (2484%)
Insurance Median: $9 (116%)
Cash: $193 (2484% of Medicare)
Ins. Median: $9 (116% 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 | 90% |
| Ic | $7 - $193 | 90% |
| Kaiser Medi-Cal | $7 | 90% |
| Tricare | $7 - $8 | 90% |
| Aetna | $8 - $122 | 103% |
| Altamed Comm Hmo (Ancillary) | $8 - $193 | 103% |
| Altamed Health Services Senior | $8 | 103% |
| Altamed Sr/Pace | $8 | 103% |
| Blue Shield Senior | $8 | 103% |
| Central Health Plan Senior | $8 | 103% |
| Clever Care Health Plan Sr | $8 | 103% |
| Coventry | $8 - $9 | 103% |
| For Your Benefit Senior | $8 | 103% |
| Guidant Health Plan Senior | $8 | 103% |
| Health Net Medi-Cal | $8 | 103% |
| Health Net Senior | $8 | 103% |
| Hpn Mcal | $8 | 103% |
| Hpn Senior | $8 | 103% |
| Humana | $8 | 103% |
| Imperial Health Plan Of Ca | $8 | 103% |
| Kaiser Senior | $8 | 103% |
| Lasalle Medical Assoc (Ancillary) Commercial | $8 | 103% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $8 | 103% |
| Lasalle Medical Assoc (Ancillary) Senior | $8 | 103% |
| Managed Health Network Sr | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Molina Medi-Cal | $8 | 103% |
| Neighborhood Healthcare Pace | $8 | 103% |
| Point Comfort Underwriters | $8 | 103% |
| Prime Health Services Wcomp | $8 | 103% |
| Primecare Senior | $8 | 103% |
| Prospect Health Plan Mcal Hmo | $8 | 103% |
| Prospect Health Plan Sr Hmo | $8 | 103% |
| Scan Senior | $8 | 103% |
| Self Pay/Ab774/Charity Discount | $8 | 103% |
| Sr Capitation | $8 | 103% |
| UnitedHealthcare | $8 - $9 | 103% |
| Veterans Administration | $8 | 103% |
| Align Senior Care | $9 | 116% |
| Prime Health Services Senior | $9 | 116% |
| Three Rivers Wcomp | $9 | 116% |
| Welbehealth Sr/Pace | $9 | 116% |
| Workers Comp Non-Contracted | $9 | 116% |
| Iehp Covered Ca | $10 | 129% |
| Iehp Medi-Cal | $10 | 129% |
| Molina Covered Ca | $10 | 129% |
| Prospect Health Plan Comm Hmo | $10 | 129% |
| Altamed Mcal Hmo | $11 | 142% |
| Altamed Mcal/Pace | $11 | 142% |
| Choice Physicians Network | $11 | 142% |
| Health Net Enhanced Ppo | $11 | 142% |
| Hpn Commercial/Covered Ca | $11 | 142% |
| Health Net Comm | $12 | 154% |
| Three Rivers Network | $14 | 180% |
| Velocity | $14 - $87 | 180% |
| Cigna | $15 - $154 | 193% |
| Blue Shield Epn | $22 | 283% |
| Blue Shield Commercial | $26 | 335% |
| First Health Commercial | $101 | 1300% |
| Primecare Commercial | $125 | 1609% |
| Multiplan Ppo | $135 | 1737% |
| Multiplan Wcomp | $135 | 1737% |
| Pnoa-Provider Network Of America | $154 | 1982% |
| Prime Health Services Commercial | $154 | 1982% |
| Ava Hospice | $193 | 2484% |
| Kaiser Commercial | $193 | 2484% |
| Living Waters Hospice | $193 | 2484% |
| Managed Health Network | $193 | 2484% |
| Other Insurance Loa | $193 | 2484% |
| Pacific Valley Hospice | $193 | 2484% |
| Private Pay | $193 | 2484% |
| Silverado Hospice | $193 | 2484% |
| Vna Hospice | $193 | 2484% |