CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Northwestern Memorial Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $110
Cash Discount Price: $99
vs. Medicare Baseline: 14.16x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Northwestern Memorial Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 14.16x the Medicare baseline. Located in 251 E Huron St, Chicago, IL.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $99 (1274%)

Insurance Median: $110 (1416%)

Cash: $99 (1274% of Medicare)

Ins. Median: $110 (1416% 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 1416% of the Medicare baseline (a markup of 1316%). 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
Aetna	$22 - $219	283%
Curaechoice [6100]	$22 - $51	283%
Imagine Health [6032]	$30 - $59	386%
Humana	$45 - $110	579%
Blue Cross Blue Shield	$50 - $219	644%
Global Medical Management Inc [6090]	$56 - $127	721%
Healthlink [125]	$56 - $219	721%
Medpartners [6038]	$67 - $153	862%
Health'S Finest Network [126]	$73 - $138	940%
Cigna	$90 - $219	1158%
Multiplan/Phcs [142]	$90 - $219	1158%
First Health Plan [6034]	$112 - $219	1441%
Galaxy Health Network [220]	$112 - $219	1441%
UnitedHealthcare	$112 - $219	1441%

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 $99.
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 Northwestern Memorial 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.