Blood test, complete blood count (CBC)
Facility: Logan County Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $103
- Cash Discount Price: $30
- vs. Medicare Baseline: 13.26x 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 1326% of the Medicare baseline (a markup of 1226%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $13 | 167% |
| Humana | $64 | 824% |
| Health Partners - All Plans | $142 | 1828% |
| Medicaid / KanCare | $150 | 1931% |
Consumer Guidance & Cost Commentary
For the CPT code 85025 (Blood test, complete blood count), Logan County Hospital in Oakley, KS, has a cash median price of $30.00, which is significantly lower than the facility's negotiated rates of $103.00 and the gross charge of $150.00. This price transparency data shows that paying out-of-pocket can be a more cost-effective option for patients with high-deductible plans, as the cash rate is substantially below the amounts commercial insurers like Blue Cross Blue Shield, Humana, and Health Partners are contractually allowed to pay. While the facility is a Critical Access Hospital with government local ownership, patients should verify their specific plan details before scheduling, as some in-network members may still face higher out-of-pocket costs if their deductible has not been met or if ancillary services are out-of-network.
It is important to note that while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still request a full itemized bill to ensure no unbundled codes or services not rendered are included. Comparing this service to the broader healthcare landscape, the cash price of $30.00 is notably lower than the state average for this procedure, though specific county averages were not provided in this dataset. To minimize costs, patients are encouraged to ask the billing department about prompt-pay discounts, which can reduce the final amount further, and to dispute any summary bills by demanding a detailed line-item statement before making a payment.