CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Ascension St Vincent's Clay County

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Ascension St Vincent's Clay County is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1670 St Vincents Way, Middleburg, FL.
Cash / Self-Pay
$51

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%)
Cash / Self-Pay: $51 (656%)
Insurance Median: $8 (103%)
Cash: $51 (656% of Medicare)
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
Aetna $7 - $16 90%
Bc Advantage Mcr Replacement $8 103%
Blue Cross Blue Shield $8 103%
Careplus Mcr Replacement $8 103%
Cigna $8 - $51 103%
Community Hospice $8 103%
Coventry Mcr Replacement Hmo $8 103%
Haven Hospice $8 103%
Humana $8 - $19 103%
Medicare (plans) $8 103%
Research Study Encore Borland-Groover $8 103%
UnitedHealthcare $8 103%
Veterans Administration $8 103%
Wellcare $8 103%
Bright Health $10 - $11 129%
Inmate Health Care $10 129%
Smarthealth $11 142%
Oscar Health Plan $12 154%
90 Degree Benefits $14 180%
Avmed Exchange $14 180%
Employer Direct Healthcare $14 180%
Molina Exchange $14 180%
Occunet $14 - $138 180%
Ambetter / Centene $15 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1670 St Vincents Way, Middleburg, FL 32068
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals