CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Baptist Hospital of Miami

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $81
Cash Discount Price: $141
vs. Medicare Baseline: 10.42x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Baptist Hospital of Miami is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 10.42x the Medicare baseline. Located in 8900 N Kendall Dr, Miami, FL.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $141 (1815%)

Insurance Median: $81 (1042%)

Cash: $141 (1815% of Medicare)

Ins. Median: $81 (1042% 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 1042% of the Medicare baseline (a markup of 942%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$3 - $311	39%
Amerigroup	$3	39%
Medicaid / KanCare	$3	39%
Sunshine State	$3	39%
UnitedHealthcare	$3 - $389	39%
Wellcare	$3	39%
Blue Cross Blue Shield	$5 - $252	64%
Vista	$6	77%
Humana	$8	103%
Medica Health Plan	$8	103%
Medicare (plans)	$8 - $10	103%
Avmed	$9 - $191	116%
Cigna	$9 - $311	116%
Leon Medical	$9	116%
Non Contracted	$10 - $143	129%
Amerihealth	$12 - $175	154%
International	$18 - $253	232%
Dimension Health Plan	$20 - $350	257%
Affordable	$23 - $331	296%
Phcs	$24 - $350	309%
Quality Health	$24 - $350	309%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $141.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baptist Hospital of Miami is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.