Blood test, complete blood count (CBC)
Facility: Minneola District Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $22
- Cash Discount Price: $17
- vs. Medicare Baseline: 2.83x 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 283% of the Medicare baseline (a markup of 183%). 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% |
| Va Community Care Program-All Plans | $16 | 206% |
| UnitedHealthcare | $16 - $24 | 206% |
| Humana | $16 | 206% |
| Providrs Care Network-All Plans | $20 | 257% |
| Corporate Plan Management-All Plans | $20 | 257% |
| Triwest-All Plans | $22 | 283% |
| Preferred Health Care (Coventry)-All Other Plans | $22 | 283% |
| Health Partners Of Kansas-All Plans | $23 | 296% |
| Phc (Coventry) Leased Network | $23 | 296% |
| Aetna | $23 - $24 | 296% |
| Medicaid / KanCare | $24 | 309% |
Consumer Guidance & Cost Commentary
For a complete blood count (CBC) at Minneola District Hospital in Minneola, KS, the cash median price is $17.00, which is lower than the facility's negotiated rates of $22.00 and the state average of $24.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as the negotiated rates paid by payers like UnitedHealthcare and Aetna range from $16.00 to $24.00. Because commercial insurance contracts often include administrative overheads that inflate the baseline price, the cash price can sometimes represent the most economical option for self-pay patients.
To ensure you receive the best possible rate, it is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the cost. Additionally, if you receive a bill from this facility, request a full itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Comparing the facility's Medicare benchmark rate of $7.77 against the commercial charges helps reveal the true cost structure, showing that the negotiated rates are generally higher than the federal baseline.