CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Perry County Memorial Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $28
Cash Discount Price: $76
vs. Medicare Baseline: 3.60x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Perry County Memorial Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 3.60x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $76 (978%)

Insurance Median: $28 (360%)

Cash: $76 (978% of Medicare)

Ins. Median: $28 (360% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 360% of the Medicare baseline (a markup of 260%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc 130	$4 - $86	51%
Group Insurance	$4 - $108	51%
Nsa	$4 - $67	51%
Medicaid / KanCare	$8 - $108	103%
Medicare (plans)	$8 - $28	103%
Veterans Administration	$8 - $108	103%
Workers Compensation	$54	695%
Guarantor Liable	$76 - $108	978%
Pcmh Insurnace	$84 - $108	1081%
Secondary Insurance	$86	1107%
UnitedHealthcare	$86	1107%
Operating Engineers	$92	1184%
Boilermakers Healthcare	$94	1210%
Cigna	$94	1210%
Great West	$94 - $108	1210%
Sagxxxx	$94	1210%
Champus	$108	1390%
Ngs American, Inc	$108	1390%
Patoka Valley	$108	1390%
Southwire	$108	1390%
Tricare	$108	1390%
Wausau Benefits	$108	1390%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.