CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Monterey Park Hospital
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $42
- Cash Discount Price: $413
- vs. Medicare Baseline: 5.41x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Monterey Park Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $413. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 5.41x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$413
Average discount available for prompt cash payment at this facility.
Insurance Median
$42
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: $413 (5315%)
Insurance Median: $42 (541%)
Cash: $413 (5315% of Medicare)
Ins. Median: $42 (541% 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 541% of the Medicare baseline (a markup of 441%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed Health Services Corporation | $1 - $70 | 13% |
| Care 1St M Cal | $1 - $70 | 13% |
| Crown City Medical Group Inc | $1 - $70 | 13% |
| Family Health Alliance Medical Group | $1 - $211 | 13% |
| Garfield Medical Center | $1 - $70 | 13% |
| Physician Healthways | $1 - $176 | 13% |
| Universal Care M Cal/Advantage Health Network | $1 - $70 | 13% |
| Alta Med Health Services Corp | $3 - $176 | 39% |
| Employee Health Systems Medical Group | $3 - $141 | 39% |
| Global Care Medical Group Ipa | $3 - $316 | 39% |
| Healthnet/Ehs Capitation | $3 - $141 | 39% |
| Hispanic Physicians Ipa Medical Corporation | $3 - $176 | 39% |
| Ahmc Healthcare Inc | $4 - $211 | 51% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4 - $211 | 51% |
| Allied Physicians Ipa | $4 - $211 | 51% |
| Bella Vista Medical Group | $4 - $211 | 51% |
| Community Health Plan M Cal Joy Ipa | $4 - $211 | 51% |
| Esperanza Medical Group Ipa | $4 - $211 | 51% |
| Pacific Independent Physician Association | $4 - $211 | 51% |
| Tenet Reciprocity | $4 - $211 | 51% |
| Blue Shield Of California | $5 - $352 | 64% |
| Central Health Plan Of California | $5 - $281 | 64% |
| Healthcare Partners Affiliates Medical Group | $5 - $251 | 64% |
| Molina Medical Centers | $5 - $274 | 64% |
| Veterans Administration | $5 | 64% |
| Applecare Medical Group | $6 - $7 | 77% |
| Blue Cross Blue Shield | $6 - $352 | 77% |
| La Care Health Plan | $6 - $387 | 77% |
| Access Ipa Ancillary | $7 | 90% |
| Accountable Ipa | $7 | 90% |
| Alhambra Community Dialysis Unit Inc | $7 - $422 | 90% |
| Allied Physicians | $7 - $12 | 90% |
| Altamed Health Network | $7 - $8 | 90% |
| Altamed Health Services | $7 | 90% |
| Assess Ipa | $7 | 90% |
| Associated Hispanic Physicians Ancillary | $7 | 90% |
| Bella Vista Medical Group Ancillary | $7 | 90% |
| Beverly Hospital | $7 - $9 | 90% |
| Brand New Day | $7 - $10 | 90% |
| Care 1St Mcl/Gar Cap | $7 | 90% |
| Central Health Plan | $7 | 90% |
| Community Health Plan | $7 | 90% |
| Health Net Medi Cal | $7 | 90% |
| Healthnet Inc | $7 | 90% |
| Healthy Way La | $7 | 90% |
| La Care | $7 - $8 | 90% |
| Medical Managed Care Program | $7 | 90% |
| Molina Healthcare | $7 | 90% |
| Other Non-Contracted Medi-Cal | $7 | 90% |
| Preferred Ipa | $7 - $10 | 90% |
| Preferred Ipa Of California | $7 | 90% |
| Senior Citizens Choice | $7 | 90% |
| Aetna | $8 - $512 | 103% |
| Aids Health Foundation | $8 | 103% |
| Alignment Health Plan | $8 | 103% |
| Apa/Aco Inc | $8 | 103% |
| Avanti | $8 - $9 | 103% |
| Care 1St Health Plan | $8 - $422 | 103% |
| Choice Care Network | $8 - $457 | 103% |
| Cms | $8 | 103% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $8 | 103% |
| Easy Choice Health Plan | $8 | 103% |
| Emanate Health | $8 - $10 | 103% |
| First Health Senior | $8 | 103% |
| Foundation Health Plan | $8 | 103% |
| Greater Los Angeles Dialysis Inc | $8 - $422 | 103% |
| Health Net | $8 - $457 | 103% |
| Health Net Inc | $8 - $498 | 103% |
| Health Net Of California | $8 - $420 | 103% |
| Healthnet | $8 - $457 | 103% |
| Hollywood Presbyterian Adv Med Mcal | $8 | 103% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 103% |
| Humana | $8 | 103% |
| La Care Covered Direct | $8 | 103% |
| Maxi Med Inc/Ipa | $8 | 103% |
| Medi Cal | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Molina Healthcare Medi-Connect | $8 | 103% |
| One Health Plan | $8 - $775 | 103% |
| Scan Health Plan | $8 | 103% |
| Secure Horizons | $8 | 103% |
| Self-Pay | $8 | 103% |
| Ucla/Impact Cancer | $8 | 103% |
| UnitedHealthcare | $8 - $492 | 103% |
| Asi Flex Ppo W/C | $9 | 116% |
| Athens Administrators | $9 | 116% |
| Cigna | $9 | 116% |
| Indemnity W Comp Fee Schedule | $9 | 116% |
| Interplan | $9 - $527 | 116% |
| Multiplan | $9 - $598 | 116% |
| Preferred Health Network | $9 - $562 | 116% |
| San Miguel Health Plan | $9 | 116% |
| Universal Care | $9 - $492 | 116% |
| Ahmc Health Epo | $10 | 129% |
| Corvel Corporation | $10 - $925 | 129% |
| Knox-Keene Act | $10 | 129% |
| Molina Healthcare Of California | $10 | 129% |
| Bce Emergis Corp | $11 - $598 | 142% |
| Caloptima Direct | $11 | 142% |
| Commercial Non Contract | $13 - $703 | 167% |
| Mri/Ct Greater El Monte Hospital | $13 - $703 | 167% |
| Mri/Mra/Alhambra Hospital | $13 - $703 | 167% |
| Mri/Mra/Eladh | $13 - $703 | 167% |
| One Legacy | $13 - $703 | 167% |
| Pacificare | $16 - $31 | 206% |