CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Holy Family Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Holy Family Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $7 (90%)
Insurance Median: $8 (103%)
Cash: $7 (90% of Medicare)
Ins. Median: $8 (103% 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
Aetna $4 - $12 51%
Blue Cross Blue Shield $4 - $11 51%
Countycare $4 51%
Humana $4 - $9 51%
Medicaid / KanCare $4 51%
Meridian $4 - $8 51%
Molina $4 - $12 51%
Cigna $5 64%
Celtic (Wellcare) $8 103%
Clear Spring Health Of Illinois $8 103%
Devoted Health $8 103%
Essential Health Partners $8 - $9 103%
Illinois Physicians Alliance $8 103%
Longevity Health Plan Of Illinois $8 103%
Medicare (plans) $8 103%
Provider Partners Health Plan (Pphp) $8 103%
Ravenswood Physicians Associates Ipa $8 103%
Resurrection Physicians Provider Group Ipa $8 - $10 103%
Self-Pay $8 103%
Tricare $8 103%
United Behavioral Health $8 103%
UnitedHealthcare $8 - $10 103%
Zing Health Provider Network $8 103%
Access Community Health Network $9 116%
Imagine Health Network $11 142%
Clifton Health Systems $12 154%
Ambetter / Centene $13 167%
Health Link, Inc. $77 991%
Coventry $91 1171%
Workers Comp $91 1171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL