CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: The Women's Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at The Women's Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$101

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: $101 (1300%)
Insurance Median: $8 (103%)
Cash: $101 (1300% 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 $3 - $14 39%
Blue Cross Blue Shield $4 - $8 51%
UnitedHealthcare $5 - $138 64%
Aetna $6 - $40 77%
Meridian Health Il $6 - $8 77%
Molina Il $6 - $8 77%
Alliance Coal $8 - $119 103%
Caresource $8 103%
Caresource Hip $8 103%
Caresource In $8 103%
Chamber Care $8 - $23 103%
Humana $8 103%
Iu Health $8 - $86 103%
Mdwise Hip $8 103%
Mhs $8 103%
Mhs Behavioral $8 103%
Molina Ky $8 103%
Molina Ky Dual $8 103%
Passport Molina Ky $8 - $40 103%
Patoka Valley Health Care (80/20 Plan) $8 103%
Patoka Valley Health Care (90/10 Plan) $8 103%
Wellcare Ky $8 - $40 103%
Ambetter / Centene $9 - $12 116%
Caresource Marketplace (Just4Me) $10 - $12 129%
Hst $10 - $12 129%
One Care $10 - $120 129%
Allied National/Zelis - Freedom Plan $11 - $19 142%
Claimdoc $11 142%
Encorecombined $12 - $120 154%
Encoreprime $12 - $117 154%
Hope Trust $12 - $13 154%
Noncontracted $12 154%
Cigna $14 - $124 180%
Claritev (Formerly Phcs/Mulitplan) $14 - $119 180%
First Health/Coventry $14 - $127 180%
Healthlink $14 - $146 180%
Sagamore $14 - $124 180%
Self Pay $14 - $101 180%
Center Care $23 - $134 296%
Immergrun $72 927%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals