Blood test, complete blood count (CBC)
Facility: Kansas Surgery & Recovery Center
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: $30
- 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 |
|---|---|---|
| UnitedHealthcare | $3 - $8 | 39% |
| Blue Cross Blue Shield | $8 - $9 | 103% |
| Triwest | $8 | 103% |
| Aetna | $8 - $16 | 103% |
| Cigna | $13 | 167% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) procedure at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $30.00, which matches the facility's median negotiated rate of $8.00 when adjusted for the specific payer mix data provided. While the facility's cash price aligns with the Medicare benchmark of $7.77, patients should be aware that commercial insurance negotiated rates vary significantly by plan. For instance, UnitedHealthcare plans show a range of $3 to $8, while Aetna plans range from $8 to $16. If you have a high-deductible plan, paying the $30.00 cash price upfront may be more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if your deductible is not yet met or if the negotiated rate exceeds the cash price.
To minimize potential costs, we strongly recommend asking the billing department about "prompt-pay" discounts before scheduling your visit, as these incentives can reduce the final bill by 20% to 50% for upfront payments. Additionally, ensure you request an itemized bill to verify that no unnecessary charges or unbundled codes are included, as over 80% of hospital bills contain errors that can be corrected. While the facility is an in-network Acute Care Hospital, always confirm your specific plan's coverage details and check for any "self-pay" or "prompt-pay" discounts directly with the hospital, as these rates are often lower than the standard insurance allowed amounts.