CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: North Okaloosa Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $11
  • Cash Discount Price: $111
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at North Okaloosa Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$111

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $111 (1429%)
Insurance Median: $11 (142%)
Cash: $111 (1429% of Medicare)
Ins. Median: $11 (142% 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
Amerigroup $3 39%
Humana $3 - $8 39%
Integral Health $3 39%
Magellan Health $3 39%
Medicaid / KanCare $3 39%
Prestige Health $3 39%
Simply Healthcare $3 - $8 39%
UnitedHealthcare $3 - $97 39%
Wellcare $3 - $8 39%
Node Champva $7 90%
Tricare $7 90%
Aetna $8 - $368 103%
Blue Cross Blue Shield $8 - $461 103%
Cigna $8 - $383 103%
Florida Department Of Corrections $8 103%
Medicare (plans) $8 103%
Node Non Par Hospice Agree $8 103%
Node Va $8 103%
Veterans Eval Services $8 103%
Node Us Dept Of Labor $10 129%
Oscar $11 142%
Evolutions $13 - $432 167%
Usa Managed Care Work Comp Fl $13 167%
Amcomp Workers Comp $14 180%
Prime Health Work Comp Fl $14 180%
State Auto Insurance Fl $16 206%
Occunet $19 245%
Self Pay $88 - $133 1133%
Corizon Health Inc $166 2136%
Phcs $442 5689%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals