Blood test, complete blood count (CBC)
Facility: Wichita County Health Center
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $46
- Cash Discount Price: $40
- vs. Medicare Baseline: 5.92x 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 592% of the Medicare baseline (a markup of 492%). 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 |
|---|---|---|
| Medicaid / KanCare | $41 | 528% |
| UnitedHealthcare | $50 | 644% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Wichita County Health Center, the negotiated rates for Medicaid and UnitedHealthcare are $41 and $50, respectively, which are higher than the facility's cash price of $40. While these insurance rates are set by contract, patients with high-deductible plans may find paying the cash price of $40 upfront to be more cost-effective if their insurance allowed amount exceeds this figure. It is important to note that commercial insurance rates often include administrative overhead and do not reflect the true cost of care; comparing these figures to the Medicare benchmark of $7.77 reveals a significant markup, suggesting that the facility's pricing structure is well above the federal baseline for this service.
Facility owners in this region are typically government entities, and while the facility is located in Leoti, Kansas, specific county or state average pricing data was not provided in the available records. Patients should be aware that hospitals frequently offer prompt-pay discounts for those who settle bills in full within a short window, which can reduce the final amount owed below the listed cash price. To ensure you receive the best possible rate, request a self-pay classification and a prompt-pay discount before scheduling your visit, and always ask for an itemized bill to verify that no services were bundled or double-charged.