Blood test, complete blood count (CBC)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $20
- Cash Discount Price: $25
- vs. Medicare Baseline: 2.57x 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 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.
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.