CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Casa Colina Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Casa Colina Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $10 (129%)
Insurance Median: $8 (103%)
Cash: $10 (129% of Medicare)
Ins. Median: $8 (103% 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
Heritage Prvdr Ntwrk Mcal $6 77%
Promed Hlth Ntwrk Op Only - All Plans $7 90%
Prospect Hp Mcal $7 90%
UnitedHealthcare $7 - $8 90%
Aetna $8 - $17 103%
Blue Cross Blue Shield $8 - $27 103%
Blue Shield Mcr Adv $8 103%
Caremore Mcr Adv - All Plans $8 103%
Central Hlth Plan - All Plans $8 103%
Doctors Managed Op Only - All Plans $8 103%
Empire Healthcare Op Only - All Plans $8 103%
Epic Comm - All Other Plans $8 103%
Epic Mcr Adv $8 103%
Focus Healthcare Wc - All Plans $8 103%
Healthnet Mcr Adv $8 103%
Humana $8 - $23 103%
Iehp - All Other Plans $8 103%
Iehp Mcr Adv $8 103%
Kaiser Comm - All Other Plans $8 103%
Kaiser Mcr Adv $8 103%
Premiercare Op Only - All Plans $8 103%
Prospect Hp Mcr Adv $8 103%
Triwest - All Plans $8 103%
Wellcare Mcr Adv - All Plans $8 103%
Medi-Cal $9 116%
Prospect Hp Comm - All Other Plans $9 116%
Affiliated Hlth Funds - All Plans $10 129%
Kaiser Mcal $10 129%
Cigna $11 142%
Healthnet Comm - All Other Plans $19 245%
Heritage Prvdr Ntwrk Comm - All Other Plans $19 245%
Heritage Prvdr Ntwrk Mcr $19 245%
Iehp Mcal $22 283%
Corvel - All Plans $23 296%
Coventry - All Plans $23 296%
Multiplan - All Plans $23 296%
Three Rivers - All Plans $23 296%
Brand New Day Mcr Adv - All Plans $28 360%
Galaxy Provdr Ntwrk - All Plans $33 425%
Blue Shield Comm - All Other Plans $34 438%
Healthcare Partners - All Other Plans $37 476%
Healthcare Partners Mcr $37 476%
Primecare Comm - All Other Plans $37 476%
Primecare Mcr Adv $37 476%
Prospect Med Grp Alta - All Plans $40 515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals