Blood test, complete blood count (CBC)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: $71
- 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% |
| Aetna | $7 | 90% |
| UnitedHealthcare | $7 - $22 | 90% |
| Medicaid / KanCare | $7 | 90% |
| Va | $8 | 103% |
| Humana | $8 | 103% |
| Providrs Care | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Ambetter / Centene | $13 | 167% |
| Blue Cross Blue Shield | $68 - $159 | 875% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) test at Ascension Via Christi Hospital Manhattan, the cash price is $71.00, which is significantly lower than the facility's gross charge of $177.00. While the hospital's negotiated rates for this service range from $6 to $159 depending on the insurance plan, the cash price offers a clear alternative for patients with high-deductible plans or those without coverage. In such cases, paying out-of-pocket at $71.00 may be more cost-effective than relying on insurance, which could result in higher allowed amounts or deductibles. Patients should verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill.
This facility's pricing is evaluated against Medicare benchmarks, where the Medicare amount for this code is $7.77. The cash price of $71.00 represents a substantial markup over the federal baseline, reflecting the facility's cost structure and administrative overhead. Because commercial negotiated rates vary widely across the ten payers represented here, it is crucial to avoid assuming that an in-network rate is the lowest possible price. To ensure accuracy, patients should request a full itemized bill rather than accepting a summary invoice, as hospitals may include unbundled charges or services not rendered. If any discrepancies arise, a formal written audit dispute should be sent to the billing supervisor to resolve errors before payment.