Blood test, complete blood count (CBC)
Facility: Salina Regional Health Center
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $18
- Cash Discount Price: $26
- vs. Medicare Baseline: 2.32x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 232% of the Medicare baseline (a markup of 132%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $8 - $9 | 103% |
| Preferred Phsic | $12 - $32 | 154% |
| Preferred Healthcare - All Other Plans | $16 - $44 | 206% |
| Aetna | $18 - $49 | 232% |
| Providers Care (Wppa)-All Plans | $18 - $49 | 232% |
| Cigna | $18 - $49 | 232% |
| Multiplan (Mpi)-All Plans | $18 - $49 | 232% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) test at Salina Regional Health Center in Salina, KS, the facility's negotiated rates range from $8 to $49 across seven insurance plans, with a median negotiated amount of $18.00. This facility is a voluntary non-profit acute care hospital, and its pricing structure is significantly higher than the national baseline, as the commercial rates are 2.3 times the Medicare amount of $7.77. While the facility offers a cash median price of $26.00, which is higher than the $18.00 median paid by insurers, patients with high-deductible plans should be aware that paying cash upfront might not always be the most economical option if their insurance negotiated rate exceeds the cash price. It is crucial to verify your specific plan's allowed amount before scheduling to ensure you are not paying more than the insurer would cover.
To secure the best possible price, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payments. Since hospitals often charge 5x more than other in-network facilities for the same service, it is essential to compare this facility's rates against local averages and confirm whether your specific insurance plan has a lower contracted rate elsewhere. Additionally, if you receive an itemized bill, request a full line-by-line audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected. By understanding these billing mechanics and negotiating directly with the facility, you can avoid unexpected costs and ensure you are paying a fair price for your care