CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Ascension St Vincent Williamsport

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Ascension St Vincent Williamsport is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 412 N Monroe St, Williamsport, IN.
Cash / Self-Pay
$71

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: $71 (914%)
Insurance Median: $8 (103%)
Cash: $71 (914% 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
Blue Cross Blue Shield $4 - $10 51%
Encore Exclusive $4 51%
Patoka Valley Tier 1 $4 51%
Patoka Valley Tier 2 $4 51%
Smarthealth Ppo $4 - $13 51%
Smarthealth Ppo/Hdhp 20161001 $4 - $13 51%
UnitedHealthcare $7 - $8 90%
Aetna $8 103%
Corizon $8 103%
Helping Hand Old Order $8 103%
Humana $8 - $18 103%
Immergrun $8 103%
Medicaid / KanCare $8 103%
Medicare (plans) $8 103%
Mhs Care Connect $8 103%
Personalized Care $8 103%
Secure Horizons-Pacificare $8 103%
Secure Horizons-Unicare $8 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 412 N Monroe St, Williamsport, IN 47993
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals