Blood test, complete blood count (CBC)
Facility: Overland Park Reg Med Ctr
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 |
|---|---|---|
| Cigna | $4 - $8 | 51% |
| Aetna | $7 - $18 | 90% |
| Amerigroup | $7 | 90% |
| United | $7 - $8 | 90% |
| Home State Health Plan | $7 | 90% |
| Unicare | $7 | 90% |
| Medicaid / KanCare | $7 | 90% |
| Healthyblue | $7 | 90% |
| Wellcare | $8 | 103% |
| Blue Cross Blue Shield | $8 - $12 | 103% |
| Triwest Health Alliance | $8 | 103% |
| Celtic | $8 | 103% |
| Humana | $8 - $19 | 103% |
| Devoted Health | $8 | 103% |
| Coventry | $8 | 103% |
| Pyramid Life | $8 | 103% |
| Oscar | $12 | 154% |
| Multiplan | $14 - $17 | 180% |
| Corvel Corporation | $17 | 219% |
| Oha Network | $17 | 219% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) test at Overland Park Reg Med Ctr, the facility's negotiated rate of $8.00 aligns closely with the state average, as the Medicare benchmark is $7.77. While commercial payers like Humana and Blue Cross Blue Shield negotiate rates ranging from $8.00 to $19.00, these figures represent the maximum amounts insurers agree to pay, not necessarily the lowest possible cost. Patients should be aware that cash-pay options can sometimes be more economical, particularly for those with high-deductible plans where the insurance negotiated rate might exceed the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final amount owed by bypassing administrative fees associated with insurance billing.
This facility operates as a proprietary acute care hospital in Overland Park, KS, and does not provide a specific cash median or negotiated median in the current data, so direct comparisons to county averages are not available for this specific transaction. However, understanding the difference between the Medicare rate and commercial negotiated rates is crucial for budgeting, as commercial contracts often include administrative overhead that inflates the baseline price. To ensure you are receiving the most accurate pricing, request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Always verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than anticipated.