CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Warner Hospital and Health Services

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $101
Cash Discount Price: $182
vs. Medicare Baseline: 13.00x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Warner Hospital and Health Services is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 13.00x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$182

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $182 (2342%)

Insurance Median: $101 (1300%)

Cash: $182 (2342% of Medicare)

Ins. Median: $101 (1300% 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 1300% of the Medicare baseline (a markup of 1200%). 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	$18 - $209	232%
Blue Cross Blue Shield	$18 - $241	232%
Harmony Hp Mcaid-All Plans	$18	232%
Medicaid / KanCare	$18	232%
Meridian Hp-All Plans	$18	232%
Molina-All Other Plans	$18	232%
Health Alliance Med Adv	$48 - $101	618%
Humana	$48 - $209	618%
Molina Mcr/Mcd Dual	$48 - $101	618%
UnitedHealthcare	$48 - $209	618%
Wellcare Mcr Adv-All Plans	$48 - $101	618%
Healthlink Hmo	$92 - $192	1184%
City Of Clinton (Employees Serv)-All Plans	$94 - $196	1210%
Cigna	$98 - $204	1261%
Caterpillar-All Plans	$100 - $209	1287%
Multiplan Phcs-All Plans	$100 - $209	1287%
Health Alliance-All Other Plans	$104 - $216	1338%
Healthlink Ppo/Work Comp-All Other Plans	$104 - $216	1338%
Consociate Care Ppo-All Plans	$106 - $221	1364%
Hfn Ppo/Epo-All Plans	$106 - $221	1364%
Three Rivers-All Plans	$112 - $233	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 $182.
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 Warner Hospital and Health Services 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.