CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Kosciusko Community Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $14
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Kosciusko Community Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $10 (129%)
Insurance Median: $14 (180%)
Cash: $10 (129% of Medicare)
Ins. Median: $14 (180% 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
Lutheran Preferred Network $1 - $138 13%
Physicians Health Plan $1 - $80 13%
Aetna $2 - $92 26%
Amish Aid $2 - $36 26%
Cigna $2 - $109 26%
Connecticut General Life Insurance Company $2 - $102 26%
Encore $2 - $69 26%
Php Freedom Network $2 - $67 26%
Self Pay $2 - $67 26%
Trma Inc $2 - $78 26%
UnitedHealthcare $2 - $91 26%
Advantage Health $3 - $144 39%
First Health Network $3 - $130 39%
Prime Health Services $3 - $130 39%
Private Healthcare Systems $3 - $149 39%
Sagamore $3 - $163 39%
Tricare $3 - $7 39%
Blue Cross Blue Shield $4 - $12 51%
Department Of Veterans Affairs $4 - $8 51%
Encore Health Network $4 - $161 51%
Humana $4 - $8 51%
In Dept Of Correction $4 - $8 51%
Iu Health $4 - $8 51%
Medicare (plans) $4 - $8 51%
Mhs $4 - $8 51%
Node Devoted Health Mcr Adv $4 - $8 51%
Node Non Par Hospice Agree $4 - $8 51%
Node Pphp Mcr Adv $4 - $8 51%
Node Va $4 - $8 51%
Veterans Eval Services $4 - $8 51%
Us Department Of Labor $5 - $10 64%
Align In Work Comp $6 - $12 77%
Lutheran Advanced Network $6 - $12 77%
Lutheran Preferred $6 - $16 77%
One Call Work Comp $6 - $12 77%
Encore Work Comp In $7 - $14 90%
Caresource $8 103%
Managed Health Services $8 103%
Managed Health Services Exchange $8 - $16 103%
Medicaid / KanCare $8 103%
Workers Comp $8 - $16 103%
Encore Kba Epo $9 - $19 116%
Encore Kba Ppo $12 - $23 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals