CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Bluffton Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Bluffton Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$5

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: $5 (64%)
Insurance Median: $8 (103%)
Cash: $5 (64% 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
Amish Aid $1 - $29 13%
Cigna $1 - $42 13%
Lutheran Preferred Network $1 - $96 13%
Self Pay $1 - $66 13%
Aetna $2 - $54 26%
Encore Ppo $2 - $59 26%
Lutheran Trma $2 - $54 26%
Php Management Systems $2 - $46 26%
Sagamore Health Newtork Inc $2 - $64 26%
Sagamore Sebt $2 - $61 26%
UnitedHealthcare $2 - $59 26%
Ahg Dana Employees $3 - $78 39%
Align Networks $3 - $84 39%
Consumer Life $3 - $74 39%
Northeast Hospice $3 - $84 39%
Prime Health Services $3 - $90 39%
Private Healthcare Systems Inc $3 - $90 39%
Advantage 360 $4 - $100 51%
Allied Benefit Systems $4 - $108 51%
Blue Cross Blue Shield $4 - $12 51%
Cardinal Health Alliance $4 - $108 51%
Community Health Alliance $4 - $102 51%
Department Of Veterans Affairs $4 - $8 51%
Encore Health Network $4 - $108 51%
First Health $4 - $103 51%
Humana $4 - $8 51%
Medicare (plans) $4 - $8 51%
Multiplan $4 - $96 51%
Node Caresource Mcr Adv $4 - $8 51%
Node Devoted Health Mcr Adv $4 - $8 51%
Node Iu Health Mcr Adv $4 - $8 51%
Node Mhs Mcr Adv $4 - $8 51%
Node Non Par Hospice Agree $4 - $8 51%
Node Va $4 - $8 51%
Php $4 - $20 51%
Php Freedom Network $4 - $14 51%
Physicians Health Plan $4 - $19 51%
Ppom $4 - $108 51%
Tricare $4 - $7 51%
Veterans Eval Services $4 - $8 51%
County Jail Health Care $5 - $8 64%
In Dept Of Correction $5 - $8 64%
Node Pphp Mcr Adv $5 - $8 64%
Us Department Of Labor $6 - $10 77%
Lutheran Advanced Network $7 - $12 90%
Lutheran Three Rivers Preferred Plus 150 $7 - $12 90%
Caresource $8 103%
Encore Work Comp In $8 - $14 103%
Lutheran Three Rivers Preferred Plus 175 $8 - $14 103%
Medicaid / KanCare $8 103%
Mhs $8 103%
Mhs In Hip $8 103%
Lutheran Northwest Health Preferred $9 - $16 116%
Managed Health Services Exchange $9 - $16 116%
Workers Compensation $9 - $16 116%
Encore Kba Epo $11 - $19 142%
Encore Kba Ppo $14 - $23 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals