CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Hammond Henry Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $97
Cash Discount Price: $118
vs. Medicare Baseline: 12.48x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Hammond Henry Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 12.48x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $118 (1519%)

Insurance Median: $97 (1248%)

Cash: $118 (1519% of Medicare)

Ins. Median: $97 (1248% 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 1248% of the Medicare baseline (a markup of 1148%). 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
Quad City Community Hc-All Plans	$10	129%
Aetna	$11 - $98	142%
Blue Cross Blue Shield	$11 - $79	142%
Meridian Health Plan-All Plans	$11	142%
Geneseo Good Samaritan Village Op Only-All Plans	$28	360%
Tricare	$34	438%
Health Alliance Mcare Adv	$38	489%
Humana	$38 - $118	489%
UnitedHealthcare	$38 - $97	489%
Wellmark Of Ia-All Plans	$66	849%
Springfield Armory-All Plans	$85	1094%
Ambetter / Centene	$92	1184%
Health Alliance-All Other Plans	$98	1261%
Multiplan Integrated Hp	$98	1261%
Cigna	$101	1300%
Multiplan Pponext	$105	1351%
Osf Direct Access Network-All Plans	$105	1351%
Multiplan-All Other Plans	$111	1429%
Corvel-All Plans	$118	1519%
Healthsmart Adult-All Other Plans	$118	1519%
Healthsmart Pediatric	$118	1519%
Hfn-All Plans	$118	1519%
Multiplan Beech Street	$118	1519%
Multiplan Phcs Adult	$118	1519%
Multiplan Phcs Pediatric	$118	1519%
Usa Mco-All Plans	$118	1519%

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 $118.
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 Hammond Henry 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.