Blood test, complete blood count (CBC)
Facility: Kingman Healthcare Center
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $1
- Cash Discount Price: $2
- vs. Medicare Baseline: 0.13x 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 |
|---|---|---|
| Wellcare | $1 | 13% |
| Celtic Insurance Company | $1 | 13% |
| UnitedHealthcare | $1 - $3 | 13% |
| Humana | $1 | 13% |
| Ambetter / Centene | $1 | 13% |
| Medicaid / KanCare | $1 - $7 | 13% |
| Cigna | $3 | 39% |
| Health Partners | $3 | 39% |
| Aetna | $3 | 39% |
| Healthy Blue | $7 | 90% |
| Triwest | $8 | 103% |
Consumer Guidance & Cost Commentary
For a complete blood count (CBC) at Kingman Healthcare Center in Kansas, the cash price is $2.00, which is lower than the facility's gross charge of $3.00. This cash rate is significantly lower than the Medicare benchmark of $7.77, suggesting that paying out-of-pocket may be the most cost-effective option for patients with high-deductible plans or those without insurance. While the facility offers a median negotiated rate of $1.00 to insurance payers like Wellcare and Celtic Insurance Company, these rates are still higher than the cash price. Patients should verify their specific plan's deductible status before scheduling, as paying the negotiated rate might be necessary if their insurance has not yet met their out-of-pocket threshold, whereas the cash price remains the lowest fixed amount available.
The facility is a Voluntary non-profit Critical Access Hospital in Kingman, KS, serving 11 different payers including Medicaid/KanCare and UnitedHealthcare. Because the cash price is lower than the Medicare amount, there is no need to worry about balance billing for this specific service, as the No Surprises Act protects patients from unexpected charges even if ancillary services are out-of-network. To ensure you receive the best possible price, we recommend requesting an itemized bill before payment to confirm there are no unbundled codes or errors, as over 80% of hospital bills contain mistakes that can be corrected. Additionally, ask the billing department about "prompt-pay" discounts, which can further reduce the $2.00 cash price if you pay in full upfront, bypassing the administrative costs associated with insurance claims processing.