CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Whittier Hospital Medical Center
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $9
- Cash Discount Price: $18
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Whittier Hospital Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$18
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: $18 (232%)
Insurance Median: $9 (116%)
Cash: $18 (232% 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 |
|---|---|---|
| Physician Healthways | $1 - $38 | 13% |
| Physicians Healthways Medical Corporation | $3 - $96 | 39% |
| Ahmc Reciprocity | $4 - $115 | 51% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4 - $115 | 51% |
| Pacific Independent Physician Association | $4 - $115 | 51% |
| Wear And Wood | $4 - $153 | 51% |
| Blue Cross Blue Shield | $5 - $191 | 64% |
| Central Health Plan Of California | $5 - $153 | 64% |
| Edward Medical Group | $5 - $134 | 64% |
| Molina Medical Center | $5 - $149 | 64% |
| UnitedHealthcare | $5 - $332 | 64% |
| Veterans Administration | $5 | 64% |
| Allied Physicians Ipa | $6 - $172 | 77% |
| Blue Shield Of California | $6 - $191 | 77% |
| Ahmc Medi-Cal Reciprocity Agreement | $7 | 90% |
| Aids Healthcare Foundation | $7 - $8 | 90% |
| Allied Physicians | $7 - $12 | 90% |
| Alta Med Health Network | $7 - $8 | 90% |
| Altamed Health Services Corporation | $7 | 90% |
| Beverly Hospital | $7 - $9 | 90% |
| Brand New Day | $7 - $10 | 90% |
| Emanate Health | $7 - $10 | 90% |
| Health Net | $7 - $228 | 90% |
| Healthy Way La | $7 | 90% |
| Heritage Provider Network | $7 - $10 | 90% |
| Kaiser Foundation | $7 - $267 | 90% |
| La Care Health Plan | $7 - $210 | 90% |
| La Care Healthy Families/Healthy Kids | $7 | 90% |
| Non Contracted Medi-Cal | $7 | 90% |
| Prospect Health Plan | $7 - $12 | 90% |
| Prospect Medical | $7 - $210 | 90% |
| Synermed | $7 - $8 | 90% |
| Aetna | $8 - $278 | 103% |
| Alignment Health Plan | $8 | 103% |
| Alta Los Angeles Hospitals Inc | $8 | 103% |
| Apa/Aco Inc | $8 | 103% |
| Avanti | $8 - $9 | 103% |
| Caloptima | $8 - $9 | 103% |
| Care 1St Health Plan | $8 - $229 | 103% |
| Care First Health Plan | $8 | 103% |
| Caremore | $8 | 103% |
| Central Health Plan | $8 | 103% |
| Cost Containment | $8 - $248 | 103% |
| County Of Los Angeles Dept Of Health Services | $8 | 103% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $8 | 103% |
| Davita Healthcare Partners | $8 - $248 | 103% |
| Easy Choice Health Plan | $8 | 103% |
| Health Net Inc | $8 - $248 | 103% |
| Hollywood Presbyterian Adv Med Mcal | $8 | 103% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 103% |
| Humana | $8 | 103% |
| La Care Covered Direct | $8 | 103% |
| Medi Caid/ Medi Cal | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Molina Healthcare Of California | $8 | 103% |
| New Horizon Medical Group Inc | $8 - $229 | 103% |
| Pacific Alliance Medical Center | $8 | 103% |
| Pacificare Of California | $8 | 103% |
| Private Pay | $8 | 103% |
| Scan Health Plan | $8 | 103% |
| Self-Pay | $8 | 103% |
| Universal Care | $8 - $267 | 103% |
| Applecare Medical Group | $9 | 116% |
| Asi/Flex | $9 - $267 | 116% |
| Athens Administrators Ahmc Work Comp | $9 | 116% |
| Chinatown Service Center Pace | $9 | 116% |
| Cigna | $9 | 116% |
| Fmc Los Angeles County | $9 - $286 | 116% |
| Healthnet | $9 - $265 | 116% |
| Interplan Health Group | $9 | 116% |
| Misc 1 | $9 | 116% |
| Monarch Healthplan | $9 | 116% |
| Multiplan Wc | $9 | 116% |
| San Miguel Health Plan | $9 | 116% |
| Tricare | $9 | 116% |
| Us Comp Care | $9 - $267 | 116% |
| Value Healthplan Of California | $9 - $267 | 116% |
| Ahmc Health | $10 | 129% |
| Community Care Network | $10 - $286 | 129% |
| Coventry Health Care | $10 - $286 | 129% |
| Coventry Health Care National Network | $10 - $286 | 129% |
| Interplan Corporation | $10 - $286 | 129% |
| Knox-Keene Act | $10 | 129% |
| Managed Care Administrators | $10 - $286 | 129% |
| Prohealth | $10 - $286 | 129% |
| Multiplan | $11 - $325 | 142% |
| Commercial Non Contract | $13 - $382 | 167% |
| Medi-Cal Sub Acute | $13 - $382 | 167% |
| One Legacy | $13 - $382 | 167% |
| Capnet | $15 | 193% |
| Great-West Healthcare Of California | $2,500 | 32175% |