Blood test, complete blood count (CBC)
Facility: Via Christi Hospital Wichita St Teresa, Inc
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 |
|---|---|---|
| Smarthealth | $6 - $11 | 77% |
| Blue Cross Blue Shield | $8 | 103% |
| UnitedHealthcare | $8 - $22 | 103% |
| Humana | $8 | 103% |
| Via Christi Research | $8 | 103% |
| Saint Lukes Health Systems | $8 | 103% |
| Va | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Vc Hope | $8 | 103% |
| Corizon | $10 | 129% |
| Medicaid / KanCare | $13 | 167% |
| Coventry City Of Wichita | $19 | 245% |
| Aetna | $24 | 309% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) procedure at Via Christi Hospital Wichita St Teresa, Inc, the facility's negotiated rates range from $6 to $24 across 13 different payers, with a median negotiated amount of $8.00. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, Kansas. While the data does not provide a specific cash price for this service, patients with high-deductible plans should note that paying cash upfront can sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
The Medicare benchmark for this service is $7.77, which serves as a reliable baseline for evaluating the facility's pricing. The median negotiated rate of $8.00 is slightly higher than the Medicare amount, reflecting the standard administrative and contract structures inherent in commercial insurance billing. Since the facility is in-network for many major payers including Medicare, UnitedHealthcare, and Blue Cross Blue Shield, patients are protected from surprise balance billing for emergency care and non-emergency services at this location. However, patients should remain vigilant regarding itemized billing audits, as hospitals may initially issue summary bills that obscure individual charges; requesting a detailed, line-by-line statement is the most effective way to identify errors or unbundled codes before finalizing payment.