Blood test, complete blood count (CBC)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $86
- Cash Discount Price: $27
- vs. Medicare Baseline: 11.07x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1107% of the Medicare baseline (a markup of 1007%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Meritain Health [503200039] | $15 - $171 | 193% |
| Wppa [503200056] | $15 - $120 | 193% |
| Alt Wppa [5032000964] | $15 - $120 | 193% |
| Alt Carelon Behavioral Health [503200905] | $18 - $142 | 232% |
| Allied National [503999937] | $22 - $171 | 283% |
| Cigna | $22 - $228 | 283% |
| Aha-Healthcare Preferred [503200050] | $22 - $171 | 283% |
| Aetna | $22 - $171 | 283% |
| Php [503200005] | $22 - $171 | 283% |
| First Health [5032000110] | $22 - $171 | 283% |
| National Assn Letter Carriers [503200019] | $22 - $171 | 283% |
| Alt Meritain Health [503999911] | $22 - $171 | 283% |
| Correct Care Solutions [50311253] | $25 - $200 | 322% |
| Workers Comp [503999901] | $31 - $242 | 399% |
| Usa Managed Care [503999030] | $32 - $256 | 412% |
| Hchsync Centrus Health Direct [503999916] | $86 - $100 | 1107% |
| Medica [503200074] | $142 | 1828% |
| Geha [503200036] | $142 | 1828% |
| UnitedHealthcare | $142 | 1828% |
Consumer Guidance & Cost Commentary
For this complete blood count (CBC) test at the University of KS Health System Great Bend Campus, the cash price is $27.00, which is significantly lower than the facility's negotiated rates with insurance carriers. While the facility's cash rate is well below the state average for this service, patients should be aware that insurance plans often pay negotiated rates that can exceed the cash price. For instance, the median negotiated rate across payers is $86.00, and some plans may pay up to $256.00. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $27.00 upfront could result in substantial savings compared to the amount your insurance would allow.
To maximize your savings, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the cost of the test. Additionally, if you are using insurance, be aware that while the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, you should still request an itemized bill to ensure all charges are accurate. Since over 80% of hospital bills contain errors, reviewing the line-by-line statement can help identify unbundled codes or services not rendered, ensuring you are only paying for what was actually provided.