Blood test, complete blood count (CBC)
Facility: Labette Health
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: $44
- 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 |
|---|---|---|
| Uhccp | $5 | 64% |
| Montgomery County | $7 - $35 | 90% |
| Healthy Blue | $7 | 90% |
| Medicaid / KanCare | $7 - $8 | 90% |
| UnitedHealthcare | $8 - $91 | 103% |
| Blue Cross Blue Shield | $8 - $13 | 103% |
| Humana | $8 | 103% |
| Wellcare | $8 | 103% |
| Ambetter / Centene | $9 | 116% |
| Multiplan | $89 | 1145% |
| Health Partners Of Kansas, Inc | $94 | 1210% |
| Choicecare (First Health Network) | $94 | 1210% |
Consumer Guidance & Cost Commentary
For Labette Health's complete blood count (CBC) test, the facility's cash price of $44.00 is significantly lower than the negotiated rates charged to most insurance plans, which range from $8.00 to $94.00 depending on the carrier. While the facility's cash rate is higher than the Medicare benchmark of $7.77, it remains well below the highest negotiated amounts seen in the data, such as the $94.00 charged by Multiplan and Health Partners Of Kansas, Inc. Patients with high-deductible plans or those who have not yet met their out-of-pocket maximum should consider paying the cash price directly, as the insurance negotiated rates often exceed the cash amount, potentially resulting in higher total costs after deductibles are applied.
To minimize unexpected costs, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling the test, as these upfront payment incentives can further reduce the bill. It is also important to avoid accepting summary bills that only show broad category totals; instead, patients should demand a full itemized statement to verify that no services were unbundled or incorrectly charged. If a balance bill arises from an out-of-network ancillary service, such as a specific lab test, patients should not pay immediately out of fear but should instead contact their insurer to request a No Surprises Act audit, ensuring they are not held responsible for the difference between the facility's chargemaster rate and the allowed amount.