CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Baptist Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $12
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Baptist Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $3 (39%)
Insurance Median: $12 (154%)
Cash: $3 (39% of Medicare)
Ins. Median: $12 (154% 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
UnitedHealthcare $1 - $8 13%
Aetna $2 - $100 26%
Pensacola $2 - $21 26%
Cha Health Plan $3 39%
Fl Community Care Ltc $3 39%
Humana $3 - $8 39%
Mh Sunshine Mcaid $3 39%
Staywell $3 39%
Sunshine Health $3 39%
Hospice Regency $4 - $41 51%
Simply Healthcare Healthy Kids $4 51%
Cigna $7 - $137 90%
Healthspring Of Fl Al $8 103%
Hospice Covenant $8 103%
Hospice Emerald Coast $8 - $68 103%
Medicare (plans) $8 103%
Mh Wellcare $8 103%
Wellcare $8 103%
Escambia $9 - $82 116%
First Health $10 - $95 129%
Private Healthcare $10 - $89 129%
Uwf Athletes $10 - $89 129%
Choicecare $11 - $103 142%
Mh Choicecare $11 - $103 142%
Wc Corvel $11 - $130 142%
Fl Blue $12 - $426 154%
Multiplan $13 - $122 167%
Bc Fl $305 3925%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals