CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $20
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 2.57x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Satanta District Hospital, Clinics, & Ltcu is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 2.57x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Cash / Self-Pay: $25 (322%)
Insurance Median: $20 (257%)
Cash: $25 (322% of Medicare)
Ins. Median: $20 (257% of 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 257% of the Medicare baseline (a markup of 157%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Direct Benefit-All Plans $7 90%
UnitedHealthcare $8 - $28 103%
Berkley Net-All Plans $11 142%
Aetna $12 - $19 154%
Trustmark Health Benefits-All Plans $12 154%
Ambetter / Centene $13 167%
Meritain Health-All Plans $13 167%
Axa Equitable - All Plans $15 193%
Pinnacol-All Plans $16 206%
Medi-Share-All Plans $16 206%
Presbyterian-All Plans $17 219%
Kasb Work Comp - All Plans $18 232%
The Kempton Group Admin-All Plans $19 245%
Auxiant - All Plans $20 257%
Sisco-All Plans $20 257%
Gpha(Wppa)-All Other Plans $20 257%
Gpha Employee Benefit Plan $20 257%
Wppa- All Plans $20 257%
Emc-All Plans $20 257%
Providers Care Network- All Plans $20 257%
Employee Benefit-All Plans $21 270%
First Health -All Plans $21 270%
Regional Care(Wppa)-All Plans $21 270%
Triangle-All Plans $21 270%
Tricare $22 283%
Christian Hospital Aid - All Plans $22 283%
Blue Cross Blue Shield $22 283%
One Call Physician-All Plans $22 283%
Humana $24 309%
Luminare Health- All Plans $25 322%
Cigna $25 322%
Coresource-All Plans $25 322%
Deseret Mutual(Uhis)-All Plans $25 322%
Vaccn-All Plans $26 335%
Reserve National-All Plans $27 347%
Wps Vapc-All Plans $27 347%
Hma Llc-All Plans $27 347%
Medicaid / KanCare $28 360%

Consumer Guidance & Cost Commentary

For this blood test (CPT code 85025), the facility's cash median price of $25.00 is slightly higher than the negotiated rates paid by most insurance plans, which range from $7.00 to $28.00 across 38 payers. While the facility is a Critical Access Hospital in Satanta, Kansas, with a government ownership structure, patients should note that commercial negotiated rates often include administrative overhead and contract premiums that can exceed the direct cash price. If you have a high-deductible plan, paying the cash price of $25.00 upfront might be more cost-effective than relying on insurance, which could result in a negotiated rate of $21.00 or higher depending on your specific plan, especially if your deductible has not yet been met.

To minimize costs, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can significantly reduce the final bill by bypassing expensive insurance claims processing. Additionally, since the facility's gross charge is $28.00, it is important to verify that your insurance is actually in-network and to request an itemized bill to ensure no errors or unbundled charges are included. While the data does not provide a specific county or state average for this procedure, comparing your allowed amount to the Medicare rate of $7.77 can help you understand the baseline cost; commercial rates are often marked up significantly above this federal benchmark, so confirming your exact allowed amount with the provider is essential before treatment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals