CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: University of Miami Hospital and Clinics

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $88
Cash Discount Price: $52
vs. Medicare Baseline: 11.33x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at University of Miami Hospital and Clinics is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 11.33x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $52 (669%)

Insurance Median: $88 (1133%)

Cash: $52 (669% of Medicare)

Ins. Median: $88 (1133% 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 1133% of the Medicare baseline (a markup of 1033%). 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
Amerihealth Caritas Fl	$2 - $77	26%
Blue Cross Blue Shield	$2 - $370	26%
Careplus	$2 - $69	26%
Molina Healthcare Of Fl	$2 - $75	26%
Oscar Health Of Fl	$2 - $77	26%
Sunshine Health	$2 - $69	26%
Aetna	$3 - $152	39%
Cigna	$3 - $120	39%
Curative	$4 - $146	51%
Avmed	$5 - $179	64%
Employers Health Network	$5 - $166	64%
First Health	$5 - $179	64%
Health First New York Health Insurance	$5 - $179	64%
Simply Healthcare	$5 - $166	64%
Beech Street	$6 - $221	77%
Broward Health	$6 - $193	77%
Dimension Health	$6 - $221	77%
Multiplan	$6 - $221	77%
UnitedHealthcare	$8 - $34	103%
Humana	$9	116%
Solis Health	$9	116%

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 $52.
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 University of Miami Hospital and Clinics 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.