CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Rehabilitation Hospital of the Pacific

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $1,613
Cash Discount Price: $33
vs. Medicare Baseline: 207.59x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Rehabilitation Hospital of the Pacific is $1,613. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 207.59x the Medicare baseline. Located in 226 N Kuakini St, Honolulu, HI.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,613

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: $33 (425%)

Insurance Median: $1,613 (20759%)

Cash: $33 (425% of Medicare)

Ins. Median: $1,613 (20759% 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 20759% of the Medicare baseline (a markup of 20659%). 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
Pswa	$1,500	19305%
Alohacare	$1,612	20746%
Hmsa	$1,612 - $2,157	20746%
Kaiser Permanente	$1,612	20746%
Ohana Health Plan	$1,612	20746%
UnitedHealthcare	$1,612 - $2,100	20746%
University Health Alliance	$1,825	23488%
Hawaii-Western Management Group	$1,944	25019%
Claritev	$2,232	28726%

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 $33.
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 Rehabilitation Hospital of the Pacific 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.