CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Henry Ford Health Warren Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Henry Ford Health Warren Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
$24

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: $24 (309%)
Insurance Median: $8 (103%)
Cash: $24 (309% 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
Medicare (plans) $7 - $8 90%
Aetna $8 103%
Amerihealth Vip Care $8 103%
Harbor Advantage Hmo $8 103%
Humana $8 103%
Meridian Wellcare $8 103%
Molina Advantage $8 103%
Molina Health Link $8 103%
Total Health Care $8 103%
Tricare $8 103%
Veterans Choice $8 103%
Ambetter / Centene $10 129%
Molina Market Place $10 129%
Phcs Pos $11 142%
Phcs Ppo $11 142%
Smarthealth $11 142%
Ahlic $12 154%
Hap Hmo $12 154%
Hap Preferred $12 154%
Priority Hmo $12 154%
Aaa-Auto Insurance $15 193%
Ppom $18 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals