CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Athur M Blank Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $235
Cash Discount Price: $345
vs. Medicare Baseline: 30.24x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Athur M Blank Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 30.24x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $345 (4440%)

Insurance Median: $235 (3024%)

Cash: $345 (4440% of Medicare)

Ins. Median: $235 (3024% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3024% of the Medicare baseline (a markup of 2924%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource [61]	$11	142%
Peachstate [43]	$11	142%
Amerigroup [102]	$13	167%
Blue Cross Blue Shield	$87 - $348	1120%
Cigna	$87 - $236	1120%
United [5]	$87 - $237	1120%
Aetna	$88 - $240	1133%
Ambetter / Centene	$88 - $239	1133%
Oscar [228]	$88 - $239	1133%
Caresource Marketplace Bronze/Silver/Gold [60]	$89 - $243	1145%
Kaiser [6]	$89 - $243	1145%
Sidecar Health [236]	$90 - $246	1158%
Coventry [9]	$92 - $251	1184%
Direct Employer Agreements [72]	$92 - $303	1184%
First Health [74]	$98 - $268	1261%
Northeast Georgia Heatlh System [808]	$98 - $268	1261%
Veracity Benefits [809]	$98 - $268	1261%
Phcs [93]	$111 - $303	1429%
Secure Health [340]	$111 - $303	1429%
Beech Street [71]	$118 - $321	1519%
Multiplan [92]	$128 - $350	1647%
Novanet [41]	$131 - $357	1686%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $345.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Athur M Blank Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.