Blood test, complete blood count (CBC)
Facility: Greeley County Health Services
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $7
- Cash Discount Price: $29
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Medicaid / KanCare | $7 | 90% |
| Aetna | $7 | 90% |
Consumer Guidance & Cost Commentary
For the CPT code 85025, representing a complete blood count (CBC) at Greeley County Health Services in Tribune, KS, the cash median price is $29.00. This cash rate is significantly lower than the facility's negotiated rates, which average $7.00 when paid through insurance plans like Medicaid/KanCare and Aetna. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs compared to insurance claims, particularly if a patient has a high deductible or if the insurance negotiated rate exceeds the cash price. It is advisable to confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final bill.
When reviewing the billing statement for this service, consumers should request an itemized bill to ensure accuracy, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. Comparing this specific charge to the broader healthcare landscape, the facility's cash rate of $29.00 is notably higher than the Medicare benchmark of $7.77, which serves as the objective baseline for true cost. Although the facility's negotiated rate of $7.00 is lower than the cash price, it remains above the Medicare amount, illustrating how commercial contracts often include administrative markups. To avoid unexpected costs, patients should verify their deductible status before using insurance and ensure they are comparing rates against the Medicare benchmark rather than the inflated chargemaster list price.