Blood test, complete blood count (CBC)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $98
- Cash Discount Price: $130
- vs. Medicare Baseline: 12.61x 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 1261% of the Medicare baseline (a markup of 1161%). 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 | $78 | 1004% |
| Americas Choice Provider Network | $91 | 1171% |
| Provider Network Of America | $98 | 1261% |
| Usa Managed Care Organization | $98 | 1261% |
| Velocity | $98 | 1261% |
| Quiktrip Corporation | $98 | 1261% |
| Multiplan-Phcs | $104 | 1338% |
| Prime Health Services | $111 | 1429% |
| Medincrease | $117 | 1506% |
Consumer Guidance & Cost Commentary
For the complete blood count (CBC) procedure at the Rehabilitation Hospital Of Overland Park, the cash price is $130.00, which matches the facility's negotiated rate. This cash price is significantly higher than the state average for this service, which is $7.77. While commercial insurance plans typically negotiate rates between $78.00 and $117.00 depending on the carrier, patients with high-deductible plans may find paying the full cash price of $130.00 more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that the facility does not currently list a specific "self-pay" or "prompt-pay" discount in this data, so patients should contact the billing department directly to inquire if any upfront payment incentives are available before scheduling.
The facility's pricing structure for this blood test is based on a CPT code, and the data reflects rates for the 2026-06 vintage. Although the facility is a Part A Provider - Hospital located in Overland Park, KS, the specific negotiated rates vary by payer, ranging from $78.00 for Blue Cross Blue Shield to $117.00 for Medincrease. Because commercial rates can fluctuate based on contract terms and administrative overhead, patients should verify their specific plan's allowed amount before receiving care. If a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face balance billing for the difference between the provider's full charge and the insurance allowed amount. To avoid surprise costs, patients should request an itemized bill to review every line item and code, ensuring that no services