Blood test, complete blood count (CBC)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $8
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x 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 |
|---|---|---|
| Smarthealth | $6 - $11 | 77% |
| Vc Hope | $8 | 103% |
| Blue Cross Blue Shield | $8 | 103% |
| Humana | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| UnitedHealthcare | $8 - $22 | 103% |
| Va | $8 | 103% |
| Cigna | $12 | 154% |
| Medicaid / KanCare | $13 | 167% |
| Aetna | $16 - $24 | 206% |
| Coventry City Of Wichita | $19 | 245% |
Consumer Guidance & Cost Commentary
For the CPT code 85025, a complete blood count (CBC) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the Medicare benchmark rate is $7.77. This facility's negotiated rates for commercial payers range from $8.00 to $11.00, with the median negotiated amount set at $8.00. While the facility does not have a publicly listed cash or median paid rate, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurance allowed amount might exceed the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer significant fee reductions for upfront payments.
This service is provided by a Part A provider hospital, and the pricing data reflects the specific contract terms with various payers, including Medicare, UnitedHealthcare, and Blue Cross Blue Shield. Since the facility is located in Wichita, KS, these negotiated rates serve as the baseline for comparison against local market standards. Patients should verify their specific plan details before scheduling, as insurance deductibles and co-pays can affect the final out-of-pocket cost even when the facility is in-network. To ensure transparency, consumers are encouraged to request an itemized bill that details every CPT code and charge, allowing for a clear review of the services rendered and the associated costs.