CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Owatonna Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $42
Cash Discount Price: $43
vs. Medicare Baseline: 5.41x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Owatonna Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 5.41x the Medicare baseline. Located in 2250 26Th Street Northwest, Owatonna, MN.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $43 (553%)

Insurance Median: $42 (541%)

Cash: $43 (553% of Medicare)

Ins. Median: $42 (541% 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 541% of the Medicare baseline (a markup of 441%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$7 - $134	90%
Blue Cross Blue Shield	$7 - $20	90%
Ucare Pmap (A B C D E G N O S U R H)	$7 - $46	90%
Medica	$8 - $173	103%
Medicaid / KanCare	$8	103%
Medicare (plans)	$8	103%
South Country Health Alliance	$8	103%
Medica Health System	$17 - $182	219%
Healthpartners	$23 - $153	296%
Medica Ubh (O)	$24 - $190	309%
UnitedHealthcare	$24 - $156	309%
Health Partners	$25 - $167	322%
Americas Ppo (Araz)(B D N O R S V)	$26 - $174	335%
Medica Mhps	$26 - $173	335%
Medica Ubh Pmap	$27 - $181	347%
Americas Ppo (Araz) (B D N H O R S)	$29 - $190	373%
First Health (A C E G H U B D N O R S)	$29 - $190	373%
All Other Contracted Care (A B C D E G H N O R S U)	$34 - $226	438%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $43.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Owatonna Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.