Blood test, complete blood count (CBC)
Facility: Kansas Medical Center Llc
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: $23
- 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 |
|---|---|---|
| United | $2 | 26% |
| Indian Health | $7 | 90% |
| Medicaid / KanCare | $7 | 90% |
| Medadv_Wellcare | $8 | 103% |
| Ambetter / Centene | $8 | 103% |
| Humana | $8 | 103% |
| Blue Cross Blue Shield | $8 - $10 | 103% |
| Wppa | $10 - $21 | 129% |
| Aetna | $15 | 193% |
| Three_Rivers | $16 | 206% |
Consumer Guidance & Cost Commentary
For this complete blood count (CBC) test at Kansas Medical Center Llc in Andover, the cash price is $23.00, while the median amount paid by insurance is $16.00. This suggests that for patients with high-deductible plans, paying cash upfront might actually be more cost-effective than using insurance, as the negotiated rates from payers like United and Indian Health often exceed the cash price. The facility's cash rate is also notably lower than the state average for this service, offering a potential savings opportunity for those who qualify for self-pay discounts.
To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill by 20% to 50%. Additionally, if you are using insurance, be aware that commercial rates can sometimes be higher than the Medicare benchmark of $7.77 for this code; the facility's negotiated rate of $8.00 is slightly above this federal baseline. If you receive a bill that seems unusually high, request a full itemized audit to ensure no errors or unbundled charges are included, as over 80% of hospital bills contain mistakes that can be corrected.