CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Deaconess Henderson Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Deaconess Henderson Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Cash / Self-Pay: $14 (180%)
Insurance Median: $8 (103%)
Cash: $14 (180% of Medicare)
Ins. Median: $8 (103% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $5 - $8 64%
UnitedHealthcare $5 - $9 64%
Wellcare Il $6 - $8 77%
Humana $7 - $8 90%
Aetna $8 - $14 103%
Alliance Coal $8 103%
Caresource In $8 103%
Center Care Narrow $8 103%
Center Care Open Access $8 103%
Encircle/Encore Combined $8 - $12 103%
Encircle/Encore Prime $8 - $12 103%
Iu Health Plans $8 - $14 103%
Medicaid / KanCare $8 103%
Medicare (plans) $8 103%
Mhs Mco $8 103%
Molina Healthcare Of Ky $8 103%
Molina Healthcare Of Ky - Exchange $8 103%
Mytru Advantage $8 103%
One Care $8 103%
Umwa $8 103%
Wellcare Ky $8 - $9 103%
Caresource In Marketplace $10 - $12 129%
Wellcare Ky Commercial Exchange $10 - $16 129%
Hopetrust $11 - $23 142%
Hstechnology $11 - $23 142%
Amish And Mennonite Of Western Ky $12 - $25 154%
Noncontracted $12 154%
First Health Network (Coventry) $14 180%
Healthlink $14 180%
Ky Racing Health & Welfare Fund $14 180%
Phcs/Multiplan $14 180%
Sagamore $14 180%
Self-Pay $14 180%
Claimdoc $19 - $23 245%
Cigna $23 296%
Coventry National Network $31 399%
Webster County Detention Center $31 399%
Henderson County Detention Center $35 450%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals