Blood test, complete blood count (CBC)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Smarthealth | $6 - $11 | 77% |
| Saint Lukes Health Systems | $8 | 103% |
| Vc Hope | $8 | 103% |
| Blue Cross Blue Shield | $8 | 103% |
| UnitedHealthcare | $8 - $22 | 103% |
| Via Christi Research | $8 | 103% |
| Va | $8 | 103% |
| Humana | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Corizon | $10 | 129% |
| Mdsave | $10 | 129% |
| Medicaid / KanCare | $13 | 167% |
| Coventry City Of Wichita | $19 | 245% |
| Aetna | $24 | 309% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) test at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $6 to $24, with a median negotiated amount of $8.00. This price point is notably lower than the state average for Kansas, where the median negotiated rate is $8.00, and aligns with the county average for Wichita, which is also $8.00. While the facility's cash payment option is not listed in this report, patients with high-deductible plans should be aware that paying cash upfront can sometimes be more cost-effective than using insurance, as commercial negotiated rates often exceed cash prices. To secure the lowest possible rate, patients should directly contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full before or shortly after the service.
When using insurance, it is important to understand that the facility's negotiated rates serve as a contractual ceiling, preventing the billing of the full chargemaster list price. However, patients must verify their specific plan's allowed amount, as some commercial payers may negotiate different rates than the facility's published median. If a patient receives care from an out-of-network provider or encounters services billed at the facility's full rate, they may face balance billing for the difference between the provider's chargemaster and the insurance payment. Under the No Surprises Act, balance billing for emergency care and non-emergency services at in-network facilities is generally prohibited, but patients should dispute any unexpected bills immediately and request a formal audit rather than accepting summary invoices or signing away their rights through consent waivers.