CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Deaconess Illinois Crossroads

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $12
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Deaconess Illinois Crossroads is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $6 (77%)
Insurance Median: $12 (154%)
Cash: $6 (77% of Medicare)
Ins. Median: $12 (154% 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
Blue Cross Blue Shield $4 - $13 51%
UnitedHealthcare $5 - $16 64%
Aetna $6 - $31 77%
Meridian Health Plan $6 - $8 77%
Molina Healthcare Of Illinois $6 - $8 77%
Self-Pay $6 - $14 77%
Wellcare $6 - $8 77%
Alliance Coal $8 103%
Care Improvement Plus $8 103%
Deaconess Onecare $8 - $15 103%
Encore Combined $8 - $17 103%
Encore Prime/Elite/Elite + $8 - $15 103%
Humana $8 - $30 103%
Mytru Advantage $8 103%
Umwa $8 103%
Alter-Net Medical Services, Inc. $10 - $22 129%
Hope Trust $10 - $22 129%
Cigna $11 - $15 142%
Noncontracted $12 154%
Wexford Health Sources $13 - $20 167%
Great West Healthcare Of Illinois $21 270%
Prime Health Services $21 - $29 270%
Healthlink $22 - $24 283%
Multiplan - Primary Network - Phcs $22 283%
Coventry Healthcare $24 309%
First Health $24 309%
Guardian Resources, Inc. $24 - $33 309%
Healthcare'S Finest Network (Hfn) $24 - $33 309%
Medicalcontrol Network Solutions $24 - $33 309%
Multiplan - Complementary Network $24 309%
National Provider Network $24 - $33 309%
Three Rivers Provider Network $24 - $34 309%
Beech Street $25 - $34 322%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals