CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Henry Ford Macomb Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Henry Ford Macomb Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $8 (103%)
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
Hap $2 - $16 26%
Aetna $4 - $26 51%
Blue Cross Blue Shield $4 - $9 51%
Mclaren $4 51%
Meridian Health Plan Of Mi $4 - $10 51%
Molina $4 - $10 51%
Priority Health $4 - $27 51%
Humana $6 - $8 77%
Pace Of Se Mi $7 90%
Bcn $8 103%
Cca Health Michigan $8 103%
Hap Caresource $8 103%
Mclaren Health $8 - $26 103%
Molina Mi Health Link $8 103%
Mount Carmel Health Plan $8 103%
UnitedHealthcare $8 - $9 103%
Wellcare $8 103%
Cofinity Group Health $18 - $34 232%
Vitalcore Physicians Group Of Mi $24 309%
Multiplan, Inc. $32 412%
Cigna $39 502%
University Of Michigan $39 502%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals