CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Lutheran Hospital of Indiana

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $6
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Lutheran Hospital of Indiana is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 0.77x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $4 (51%)
Insurance Median: $6 (77%)
Cash: $4 (51% of Medicare)
Ins. Median: $6 (77% 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 $1 - $51 13%
Amish Aid $1 - $32 13%
Cigna $1 - $39 13%
Encore Ppo $1 - $53 13%
Ky Work Comp $1 - $27 13%
Lutheran Network $1 - $54 13%
Lutheran Preferred Network $1 - $65 13%
Sagamore $1 - $58 13%
Self Pay $1 - $39 13%
UnitedHealthcare $1 - $53 13%
Advantage Health Solutions $2 - $90 26%
Allied Benefit Systems $2 - $97 26%
Blue Cross Blue Shield $2 - $40 26%
Department Of Veterans Affairs $2 - $8 26%
Encore Health Network $2 - $97 26%
Evolutions $2 - $97 26%
Humana $2 - $8 26%
Iu Health Plan $2 - $8 26%
Lutheran Preferred $2 - $43 26%
Managed Health Services $2 - $16 26%
Medicare (plans) $2 - $8 26%
Multiplan $2 - $90 26%
Node Devoted Health Mcr Adv $2 - $8 26%
Node Hospice Non Par Agree $2 - $8 26%
Node Va $2 - $8 26%
Php Freedom Network $2 - $15 26%
Physicians Health Plan Of Northern Indiana $2 - $43 26%
Prime Health Services $2 - $81 26%
Tricare $2 - $7 26%
Veterans Eval Services $2 - $8 26%
In Dept Of Correction $3 - $8 39%
Node Pphp Mcr Adv $3 - $8 39%
Us Department Of Labor $3 - $10 39%
Align Network $4 - $12 51%
Encore Work Comp In $4 - $14 51%
Lutheran Advanced Network $4 - $12 51%
Node Lutheran Network $4 - $14 51%
Node Lutheran Preferred Fixed 2 $4 - $12 51%
Node Encore Kba Epo $6 - $19 77%
Node Encore Kba Ppo $7 - $23 90%
Care Source $8 103%
Medicaid / KanCare $8 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals