Blood test, complete blood count (CBC)
Facility: University Of Kansas Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $82
- Cash Discount Price: $21
- vs. Medicare Baseline: 10.55x 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 1055% of the Medicare baseline (a markup of 955%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $11 - $84 | 142% |
| Health Plan Inc [503999941] | $17 - $134 | 219% |
| Alt Carelon Behavioral Health [503200905] | $18 - $142 | 232% |
| Accarent Health [503999034] | $18 - $142 | 232% |
| Geha [503200036] | $22 - $173 | 283% |
| Alt Wppa [5032000964] | $22 - $173 | 283% |
| Med-Pay [503200040] | $22 - $173 | 283% |
| Inter-Americas Insurance [503999032] | $22 - $173 | 283% |
| Cerner [503200038] | $22 - $173 | 283% |
| Healthlink [503200007] | $22 - $211 | 283% |
| Php [503200005] | $22 - $211 | 283% |
| Allied National [503999937] | $22 - $171 | 283% |
| Cigna | $23 - $228 | 296% |
| Aha-Healthcare Preferred [503200050] | $24 - $188 | 309% |
| First Health [5032000110] | $24 - $188 | 309% |
| Consolidated Billing [50311256] | $25 - $200 | 322% |
| Ascension Living Hope [503201517] | $25 - $200 | 322% |
| Coeur Plan Services [503301517] | $25 - $200 | 322% |
| Blue Cross Blue Shield | $25 - $219 | 322% |
| Correct Care Solutions [50311253] | $25 - $200 | 322% |
| Orscheln Industries [503201608] | $27 - $214 | 347% |
| Empire Plan/Nyship [503200705] | $28 - $219 | 360% |
| Alt Lucent Health Solutions [503202603] | $28 - $219 | 360% |
| Alt Lineco [5032000976] | $28 - $219 | 360% |
| Century Health Solutions [503200054] | $29 - $228 | 373% |
| Quiktrip [5032000412] | $29 - $228 | 373% |
| Point Comfort Underwriters [503200018] | $29 - $228 | 373% |
| Meritain Health [503200039] | $30 - $239 | 386% |
| Wppa [503200056] | $30 - $239 | 386% |
| Employers Health Network [503999025] | $32 - $256 | 412% |
| Three Rivers Provider Network [503999029] | $32 - $256 | 412% |
| Usa Managed Care [503999030] | $32 - $256 | 412% |
| Sanford Health Plan [503999027] | $32 - $256 | 412% |
| Plan Care America [503999026] | $32 - $256 | 412% |
| Workers Comp [503999901] | $34 - $271 | 438% |
| Hchsync Centrus Health Direct [503999916] | $86 - $100 | 1107% |
| Oscar [503201609] | $86 | 1107% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) procedure at University Of Kansas Hospital, the facility's negotiated rates range from $11 to $256 depending on the insurance carrier, with a median negotiated payment of $82.00. This commercial rate is significantly higher than the Medicare benchmark of $7.77, reflecting the standard administrative markup inherent in insurance contracts. However, for patients with high-deductible plans, the cash price of $21.00 may be more cost-effective than the insurance negotiated rate, as paying out-of-pocket upfront can bypass the multi-layered billing cycle and administrative fees that inflate commercial payments.
To minimize costs, patients should proactively request self-pay or prompt-pay discounts before scheduling their visit, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is crucial to avoid accepting summary bills, which often obscure individual charges, and instead demand a full itemized statement to identify any unbundled codes or services not rendered. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify their specific plan details and deductible status to ensure they are aware of their financial obligations before receiving care.