CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Buena Vista Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $14
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Buena Vista Regional Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $12 (154%)
Insurance Median: $14 (180%)
Cash: $12 (154% of Medicare)
Ins. Median: $14 (180% 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
Champus $7 - $9 90%
Champva $7 - $9 90%
Health Partners $7 - $17 90%
Medicare (plans) $7 - $17 90%
UnitedHealthcare $7 - $17 90%
American Postal Workers $11 - $14 142%
Avera $12 - $14 154%
Cigna $13 - $15 167%
Aetna $14 - $17 180%
Ambetter / Centene $14 - $17 180%
Blue Cross Blue Shield $14 - $17 180%
First Administrators $14 - $16 180%
Golden Rule $14 - $16 180%
Great West $14 - $16 180%
Healthscope $14 - $16 180%
Humana $14 - $17 180%
Iowa Health Advantage $14 - $17 180%
Medical Associates $14 - $16 180%
Meritain $14 - $16 180%
Midlands Choice $14 - $16 180%
Wellcare $14 - $17 180%
Wellpoint $14 - $17 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals