CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Coastal Communities Hospital
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $10
- Cash Discount Price: $44
- vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Coastal Communities Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.29x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$44
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $44 (566%)
Insurance Median: $10 (129%)
Cash: $44 (566% of Medicare)
Ins. Median: $10 (129% 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
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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 | $7 - $11 | 90% |
| Monarch | $7 - $8 | 90% |
| Altamed Mcal Hmo (Ancillary) | $8 | 103% |
| Blue Shield | $8 - $30 | 103% |
| Caloptima | $8 - $11 | 103% |
| Central Health Plan Of California | $8 | 103% |
| Champion Health Plan | $8 | 103% |
| Champus | $8 | 103% |
| Choice Physicians Network | $8 | 103% |
| Citizens Choice Health Plan | $8 | 103% |
| Clever Care Health Plan | $8 | 103% |
| Coventry Auto Network | $8 | 103% |
| Easy Choice Health Plan | $8 | 103% |
| For Your Benefit | $8 | 103% |
| Health Net | $8 - $32 | 103% |
| Healthcare Partners | $8 | 103% |
| Healthcare Partners Sr Hmo | $8 | 103% |
| Heritage | $8 | 103% |
| Hollywood Presbyterian | $8 | 103% |
| Humana | $8 | 103% |
| Imperial Health Plan Of Ca | $8 | 103% |
| Innovative Integrated Health | $8 | 103% |
| Interplan | $8 - $33 | 103% |
| Kaiser | $8 - $27 | 103% |
| Kpc Healthcare Inc | $8 - $11 | 103% |
| Medcare Partners | $8 | 103% |
| Medi-Cal Hmo/Non Contract | $8 | 103% |
| Medicaid / KanCare | $8 | 103% |
| Onecare | $8 | 103% |
| Onecare Connect | $8 | 103% |
| Other Senior Non Contract | $8 | 103% |
| Prime Health Srvs/Wc | $8 | 103% |
| Prospect Health Plan | $8 - $12 | 103% |
| Scan Health Plan | $8 | 103% |
| Self Pay Ab774/Cbo Use Only | $8 | 103% |
| UnitedHealthcare | $8 | 103% |
| Us Dept Of Labor | $8 | 103% |
| Us Federal Marshall/Department Of Immigration | $8 | 103% |
| Velocity Provider Network Sr | $8 | 103% |
| Verda Health Plan Sr | $8 | 103% |
| Veterans Administration | $8 | 103% |
| Victim Of Violent Crime | $8 | 103% |
| Victoria Hospice | $8 | 103% |
| Brand New Day | $9 | 116% |
| Coventry Wc | $9 | 116% |
| Monarch Health Plan | $9 | 116% |
| Multiplan | $9 - $31 | 116% |
| Prime Health Srvs | $9 - $35 | 116% |
| Three Rivers | $9 | 116% |
| Velocity National Provider Network Wc | $9 | 116% |
| Workers Comp State Of California | $9 | 116% |
| County Of Orange/Custody/Advanced Medmgt | $10 | 129% |
| Veterans Evaluation Services | $10 | 129% |
| Choc Health Alliance | $11 | 142% |
| County Of Orange | $11 | 142% |
| Family Choice | $11 | 142% |
| Heritage Provider Network | $11 - $26 | 142% |
| Staywell/Island Home Ins | $11 | 142% |
| Ihhi Reciprocity | $13 | 167% |
| Three Rivers Network | $14 | 180% |
| Velocity National Provider Network Ppo | $14 | 180% |
| Cigna | $15 - $29 | 193% |
| First Health | $23 | 296% |
| Aetna | $25 | 322% |
| Magellan | $26 | 335% |
| Networks By Design | $31 | 399% |
| Networks By Design Wc | $31 | 399% |
| Healthsmart | $33 | 425% |
| Prime Health | $33 | 425% |
| Pnoa-Provider Network Of America | $35 | 450% |
| Prime Health Srvs/Network | $37 | 476% |
| Lucet Behavioral Health Sr | $44 | 566% |
| Managed Health Network | $44 | 566% |
| Other Insurance Loa | $44 | 566% |
| Other Non Contracted Plans | $44 | 566% |
| Private Pay | $44 | 566% |
| Us Behavioral Health Plan | $44 | 566% |
| Vitas Hospice | $44 | 566% |