CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Holland Community Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $12
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Holland Community Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $38 (489%)
Insurance Median: $12 (154%)
Cash: $38 (489% of Medicare)
Ins. Median: $12 (154% 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
Nomi Health - All Plans $5 64%
UnitedHealthcare $5 - $63 64%
Life Circles-All Plans $7 90%
Aetna $8 - $11 103%
Health Alliance Mcr Adv $8 103%
Longevity Health Plan-All Plans $8 103%
Ph Mcr Adv $8 103%
Va Ccn - All Plans $8 103%
Blue Cross Blue Shield $9 116%
Cofinity -All Plans $9 116%
Asr - All Plans $12 154%
Health Alliance Ahl - All Other Plans $12 154%
Health Alliance Hmo $12 154%
Sisco Epi $13 167%
Sisco-All Other Plans $13 167%
Cigna $17 219%
Priority Health - All Other Plans $19 245%
Molina Mcaid - All Plans $20 257%
Ph Mcaid $20 257%
Multiplan - All Plans $55 708%
Benefit Source Inc-All Plans $57 734%
First Health-All Plans $57 734%
Usa Managed Care-All Plans $57 734%
Integrated Health Plans-All Plans $60 772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals