CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Santa Rosa Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $7
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Santa Rosa Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 0.90x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $65 (837%)
Insurance Median: $7 (90%)
Cash: $65 (837% of Medicare)
Ins. Median: $7 (90% 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
Aetna $2 - $242 26%
Fl Community Care $3 39%
Humana $3 - $8 39%
Medicaid / KanCare $3 39%
Molina $3 39%
Prime Health Services $3 - $346 39%
Tricare $3 - $7 39%
Wellcare $3 39%
Blue Cross Blue Shield $4 - $432 51%
Cigna $4 - $98 51%
Hospice Of Nw Fl $4 - $8 51%
Medicare (plans) $4 - $8 51%
Node Champva $4 - $7 51%
Node Va $4 - $8 51%
Node Wellcare Mcr Adv $4 - $8 51%
Oscar $4 - $11 51%
UnitedHealthcare $4 - $84 51%
Veterans Eval Services $4 - $8 51%
Geo Group $5 - $10 64%
Node Us Dept Of Labor $5 - $10 64%
Florida State Auto Insurance $8 - $16 103%
Ambetter / Centene $9 - $19 116%
Florida Workers Compensation $14 180%
Prime Health Work Comp Fl $14 180%
Self Pay $99 1274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals