Blood test, complete blood count (CBC)
Facility: Saint John Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: $7
- vs. Medicare Baseline: 1.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $6 - $13 | 77% |
| Medicaid / KanCare | $7 | 90% |
| Healthy Blue | $7 - $8 | 90% |
| UnitedHealthcare | $7 - $11 | 90% |
| Celtic | $7 - $42 | 90% |
| Medicare (plans) | $8 | 103% |
| Kansas Superior Select | $8 | 103% |
| Aetna | $8 - $14 | 103% |
| Midland Care Connection | $8 | 103% |
| Tricare | $8 | 103% |
| Cigna | $8 | 103% |
| Corizon | $11 | 142% |
| Well Path | $11 | 142% |
| Employer Direct Healthcare | $11 | 142% |
| Naphcare | $12 | 154% |
| Centurion | $12 | 154% |
| Comp Alliance Workers Comp | $16 | 206% |
| Oha Networks | $17 | 219% |
| Worker Compensation | $18 | 232% |
Consumer Guidance & Cost Commentary
For this blood test service at Saint John Hospital in Leavenworth, KS, the facility's cash median rate of $7.00 is significantly lower than the state average of $25.00, making it a potentially cost-effective option for patients with high-deductible plans or those without insurance. While most commercial payers negotiate rates that average higher than the cash price—ranging from $8.00 to $18.00 depending on the insurer—patients should verify their specific plan's allowed amount before scheduling. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected ancillary charges or emergency services may still trigger additional bills if not carefully reviewed. Patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final cost by bypassing administrative fees associated with insurance claims processing.
When reviewing your bill, always request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can inflate your total. Comparing the facility's negotiated rates to the Medicare benchmark of $7.77 reveals that while commercial rates vary widely, they generally align with the expected markup range for this service. If you receive a bill that appears excessive, you have the right to dispute it in writing with the billing supervisor to correct any inaccuracies. Additionally, since the facility is a voluntary non-profit, they may be more inclined to offer flexible payment plans or additional discounts for prompt payment, so do not hesitate to inquire about these options before finalizing any payment.