CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Marion Communtiy Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Marion Communtiy Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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%)
Insurance Median: $8 (103%)
Ins. Median: $8 (103% 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
Humana $7 - $8 90%
Align Senior Care $8 103%
American Health Plan $8 103%
Avmed $8 103%
Blue Cross Blue Shield $8 103%
Cigna $8 103%
Devoted Health $8 103%
Florida Complete Care $8 103%
Freedom Optimum $8 103%
Gold Kidney Of Florida $8 103%
Ndms Definitive Care $8 103%
Secur $8 103%
Sunshine State $8 103%
United $8 103%
Va Purchased Care Program $8 103%
Veterans Evaluation Services $8 103%
Wellcare $8 103%
Wellmed $8 103%
Aetna $9 116%
Careplus $9 116%
Centurion $9 116%
Clear Spring Health $9 116%
Longevity Health Plan $9 116%
Ultimate Health Plan $9 116%
Simply Healthcare $10 129%
Naphcare $16 - $19 206%
University Ma Federal Corrections $16 206%
Wellpath $16 - $19 206%
Corvel Corporation $145 1866%
Prime Health $148 1905%
Careworks (Rockport Community) $152 1956%
Marion County Schools $152 1956%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals