CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Garfield Medical Center
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $14
- Cash Discount Price: $46
- vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Garfield Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$46
Average discount available for prompt cash payment at this facility.
Insurance Median
$14
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: $46 (592%)
Insurance Median: $14 (180%)
Cash: $46 (592% of Medicare)
Ins. Median: $14 (180% 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.
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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 |
|---|---|---|
| Access Ipa Ancillary | $1 - $77 | 13% |
| Associated Hispanic Phys Of So Cal | $1 - $51 | 13% |
| Care First Health Plan | $1 - $26 | 13% |
| Pacific Independent Physician Association | $1 - $41 | 13% |
| UnitedHealthcare | $1 - $154 | 13% |
| Employee Health Systems Mg | $3 - $51 | 39% |
| Ahmc Healthcare Inc | $4 - $77 | 51% |
| Family Health Alliance | $4 - $77 | 51% |
| Allied Physicians Risk Pool | $5 - $90 | 64% |
| Allied Physicians Risk Pool Agreement | $5 - $90 | 64% |
| Healthnet Medi Cal Cap | $5 - $90 | 64% |
| Molina Medical Group | $5 - $100 | 64% |
| Pipa Risk Pool Agreement | $5 - $90 | 64% |
| Veterans Administration | $5 | 64% |
| Central Health Plan | $6 - $103 | 77% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $6 - $103 | 77% |
| Health Net Foundation M Cal (Family Health Alliance) | $6 - $103 | 77% |
| Phys Assoc Of San Gab Valley | $6 - $103 | 77% |
| Allied Physicians | $7 - $12 | 90% |
| Allied Physicians Med Grp | $7 - $128 | 90% |
| Beverly Hospital | $7 - $9 | 90% |
| Blue Cross Blue Shield | $7 - $128 | 90% |
| Blue Shield Of California | $7 - $128 | 90% |
| Brand New Day | $7 - $10 | 90% |
| Care 1St Mcl/Gar Cap Reciprocity | $7 | 90% |
| Community Health Plan | $7 | 90% |
| Emanate Health | $7 - $10 | 90% |
| Health Net | $7 - $216 | 90% |
| Healthy Way La | $7 | 90% |
| La Care Health Plan | $7 - $141 | 90% |
| Other Non-Contracting Medi-Cal | $7 | 90% |
| Physicians Healthways Medi-Cal | $7 - $257 | 90% |
| Advantage Care Ipa | $8 - $257 | 103% |
| Aetna | $8 - $187 | 103% |
| Aids Health Foundation | $8 | 103% |
| Alhambra Hospital | $8 - $154 | 103% |
| Alignment Health Plan | $8 | 103% |
| Apa Aco Inc | $8 | 103% |
| Avanti | $8 - $9 | 103% |
| Blue Shield | $8 - $109 | 103% |
| Care 1St Health Plan | $8 - $154 | 103% |
| Cms | $8 | 103% |
| Cv-19 Hrsa Uninsured Testing And Tx | $8 | 103% |
| Easy Choice Health Plan | $8 | 103% |
| First Health Network | $8 - $180 | 103% |
| Health Net Comm/Hmo | $8 - $141 | 103% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $8 | 103% |
| Hollywood Presbyterian Medpoint Mcal | $8 | 103% |
| Humana | $8 | 103% |
| Inter Valley Health Plan | $8 | 103% |
| Interplan | $8 - $193 | 103% |
| La Care Covered Direct | $8 | 103% |
| Molina Healthcare | $8 | 103% |
| Molina Healthcare Of California | $8 - $10 | 103% |
| Non-Contract Medi-Care | $8 | 103% |
| Pacific Alliance Medical Center Comm/Sr | $8 | 103% |
| Physicians Healthways Medical Corporation | $8 - $257 | 103% |
| Scan Health Plan Sr Hmo | $8 | 103% |
| Self-Pay | $8 | 103% |
| State Of California Medi-Cal | $8 | 103% |
| Ucla Impact Dept Of Uncology | $8 | 103% |
| Athens Administrators | $9 | 116% |
| Chinatown Service Center Pace | $9 | 116% |
| Cigna | $9 | 116% |
| Multiplan | $9 - $218 | 116% |
| National Disaster Medical System | $9 | 116% |
| Other Non-Contracted Workers Compensation | $9 | 116% |
| Physician Healthways Medical Corporation | $9 | 116% |
| Preferred Health Network | $9 | 116% |
| San Miguel Health Plan | $9 | 116% |
| Ahmc Health Epo | $10 | 129% |
| Fmc Los Angeles Co Epo | $10 - $193 | 129% |
| Knox-Keene Act | $10 | 129% |
| One Health Plan | $10 - $180 | 129% |
| Caloptima Direct | $11 | 142% |
| Corvel Corporation | $11 - $206 | 142% |
| Americas Health Plan | $12 - $218 | 154% |
| Health Net Inc | $13 | 167% |
| Health Payors Organization | $13 - $231 | 167% |
| East La Reg Ctr | $14 - $257 | 180% |
| Non Contract Commercial | $14 - $257 | 180% |
| One Legacy | $14 - $257 | 180% |
| Private Pay | $14 - $257 | 180% |
| Pacificare Of California Inc | $16 | 206% |
| Pacificare Ppo | $16 | 206% |