CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Chelsea Hospital
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $28
- Cash Discount Price: $167
- vs. Medicare Baseline: 3.60x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Chelsea Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 3.60x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$167
Average discount available for prompt cash payment at this facility.
Insurance Median
$28
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: $167 (2149%)
Insurance Median: $28 (360%)
Cash: $167 (2149% of Medicare)
Ins. Median: $28 (360% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 360% of the Medicare baseline (a markup of 260%). 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.
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 | $4 - $9 | 51% |
| Medicaid / KanCare | $4 | 51% |
| Aetna | $8 - $35 | 103% |
| Align Senior Care | $8 | 103% |
| Angela Hospice | $8 | 103% |
| Arbor Hospice | $8 | 103% |
| Blue Care Network Advantage | $8 | 103% |
| Cca - Zing Health | $8 | 103% |
| Heartland Hospice | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| UnitedHealthcare | $8 - $50 | 103% |
| Bcn Domestic | $9 | 116% |
| Blue Benefit Administrators Of Massachusetts | $9 | 116% |
| Blue Care Network | $9 | 116% |
| Blue Distinction Transplant | $9 | 116% |
| Blue Shield - Ca | $9 | 116% |
| Blue Shield - Id (Regence) | $9 | 116% |
| Blue Shield - Ny Highmark Northeastern | $9 | 116% |
| Blue Shield - Ny Highmark Western | $9 | 116% |
| Blue Shield - Pa (Highmark) | $9 | 116% |
| Blue Shield - Wa (Regence) | $9 | 116% |
| Health Choices | $9 - $50 | 116% |
| Kaiser Domestic | $9 | 116% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $9 | 116% |
| Molina Marketplace | $10 | 129% |
| Geha | $12 - $50 | 154% |
| Health Cost Solutions | $12 | 154% |
| Meritain | $12 | 154% |
| U Of M Health Plan | $12 | 154% |
| Vitalcore | $12 | 154% |
| Wellpath | $12 | 154% |
| Employee Benefit Logistic | $17 | 219% |
| Priority Health | $19 - $22 | 245% |
| Wc Accident Fund | $20 | 257% |
| Wc Advantage | $20 | 257% |
| Wc Aig | $20 | 257% |
| Wc Allied | $20 | 257% |
| Wc Amerisure | $20 | 257% |
| Wc Amtrust | $20 | 257% |
| Wc Asu Risk Mgt | $20 | 257% |
| Wc Berkley Admin | $20 | 257% |
| Wc Broadspire | $20 | 257% |
| Wc Bunch & Associates | $20 | 257% |
| Wc Ccmsi | $20 | 257% |
| Wc Emc Insurance Company | $20 | 257% |
| Wc Esis | $20 | 257% |
| Wc Fcci | $20 | 257% |
| Wc Federated | $20 | 257% |
| Wc Gallagher Bassett | $20 | 257% |
| Wc Genex Care For Ohio | $20 | 257% |
| Wc Guard Insurance Company | $20 | 257% |
| Wc Hartford | $20 | 257% |
| Wc Liberty Mutual | $20 | 257% |
| Wc Meijers | $20 | 257% |
| Wc Michigan | $20 | 257% |
| Wc Mitchell Frankenmuth | $20 | 257% |
| Wc Pma | $20 | 257% |
| Wc Sedgwick | $20 | 257% |
| Wc Sentry | $20 | 257% |
| Wc Travelers | $20 | 257% |
| Wc Tristar | $20 | 257% |
| Wc Walmart | $20 | 257% |
| Wc Zurich | $20 | 257% |
| Asr Health Benefits | $28 | 360% |
| Caresource | $28 | 360% |
| Hap | $28 - $58 | 360% |
| Varipro | $28 | 360% |
| Access Health | $50 | 644% |
| Acclaim | $50 | 644% |
| Administrative Concepts | $50 | 644% |
| Allegeant | $50 | 644% |
| Ameriben | $50 | 644% |
| American Family | $50 | 644% |
| American Healthcare Alliance | $50 | 644% |
| American National | $50 | 644% |
| American Republic | $50 | 644% |
| Amerihealth | $50 | 644% |
| Aultcare | $50 | 644% |
| Automated Benefit Services | $50 | 644% |
| Auxiant | $50 | 644% |
| Benefit Administrative Systems,Llc | $50 | 644% |
| Boon Chapman | $50 | 644% |
| Cam Administrative Services | $50 | 644% |
| Christian Brother Services | $50 | 644% |
| Christian Brothers Holy Cross | $50 | 644% |
| Comprehensive Benefits | $50 | 644% |
| Continental Life Insurance | $50 | 644% |
| Custom Benefit Administrators | $50 | 644% |
| Employee Benefit Concepts | $50 | 644% |
| Employee Benefit Management | $50 | 644% |
| Enterprise Group Planning | $50 | 644% |
| Freedom Life Insurance Company | $50 | 644% |
| Group Administrators | $50 | 644% |
| Group Marketing Services | $50 | 644% |
| Guardian | $50 | 644% |
| Health America | $50 | 644% |
| Healthcare Management Admin | $50 | 644% |
| Healthez | $50 | 644% |
| Humana | $50 | 644% |
| Insight | $50 | 644% |
| Intercare | $50 | 644% |
| Jfp Benefit Management | $50 | 644% |
| Jp Farley Corporation | $50 | 644% |
| Key Benefit Administrator | $50 | 644% |
| Liberty Union Life Assurance Co | $50 | 644% |
| Lucent Health | $50 | 644% |
| Luminare Health | $50 | 644% |
| Luminare Health (Detroit) | $50 | 644% |
| Magnacare | $50 | 644% |
| Medben | $50 | 644% |
| Medcost | $50 | 644% |
| Medical Mutual | $50 | 644% |
| Mutual Health Services | $50 | 644% |
| Mutual Of Omaha | $50 | 644% |
| Ncas | $50 | 644% |
| Nippon Life Ins | $50 | 644% |
| Nova | $50 | 644% |
| Painters Union Insurance Fund | $50 | 644% |
| Physicians Mutual | $50 | 644% |
| Plumbers Local 98 Insurance Fund | $50 | 644% |
| Prairie States | $50 | 644% |
| Preferred One | $50 | 644% |
| Primary Physician Care | $50 | 644% |
| Professional Benefit Administrators | $50 | 644% |
| Siho Insurance Services | $50 | 644% |
| Sisco Benefits | $50 | 644% |
| The Loomis Company | $50 | 644% |
| Unicare | $50 | 644% |
| Us Health And Life | $50 | 644% |
| Valenz | $50 | 644% |
| Western & Southern Financial Group | $50 | 644% |
| Wps | $50 | 644% |
| Coventry | $51 | 656% |
| First Health | $51 | 656% |
| Hospice Of Michigan | $52 | 669% |
| Cigna | $53 | 682% |
| 1199 National Benefit Fund | $56 | 721% |
| Allied National Global Care | $56 | 721% |
| Asrm - Reliance Standard Life Insurance | $56 | 721% |
| Christian Care Ministry | $56 | 721% |
| Dean Health | $56 | 721% |
| Fallon Health | $56 | 721% |
| Family Life Insurance Company | $56 | 721% |
| Ghc Scw | $56 | 721% |
| Group Pension Administrators | $56 | 721% |
| International Benefit Administrators | $56 | 721% |
| Lifetime Benefit Solutions | $56 | 721% |
| Manhattan Life | $56 | 721% |
| Medi Share | $56 | 721% |
| Multiplan | $56 | 721% |
| Mvp | $56 | 721% |
| Pai | $56 | 721% |
| Pan-American Life | $56 | 721% |
| Paramount Hmo | $56 | 721% |
| Phcs | $56 | 721% |
| Trinity Health Share | $56 | 721% |
| Health Partners | $58 | 746% |
| Tufts Health Plan | $58 | 746% |
| Prime Health Services | $60 | 772% |
| Three Rivers Provider Network | $68 | 875% |
| Cmh Detroit Wayne Integrated Health Network | $75 | 965% |
| Cmh Jackson County/Lifeways | $75 | 965% |
| Cmh Lenawee County | $75 | 965% |
| Cmh Livingston County | $75 | 965% |
| Cmh Misc | $75 | 965% |
| Cmh Monroe County | $75 | 965% |
| Cmh Washtenaw County | $75 | 965% |
| Magellan Behavioral Health | $75 | 965% |