CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Moberly Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $51
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 6.56x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Moberly Regional Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 6.56x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $70 (901%)
Insurance Median: $51 (656%)
Cash: $70 (901% of Medicare)
Ins. Median: $51 (656% 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 656% of the Medicare baseline (a markup of 556%). 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
Medicaid / KanCare $7 - $12 90%
Tricare $7 90%
Blue Access $8 103%
Blue Cross Blue Shield $8 - $67 103%
Blue Preferred $8 103%
Medicare (plans) $8 103%
Node Devoted Health Mcr Adv $8 103%
Node Va $8 103%
Pathway/Pathway X $8 103%
UnitedHealthcare $8 - $144 103%
Veterans Eval Services $8 103%
Centurion Correctional $10 129%
Corizon $10 129%
Us Department Of Labor $10 129%
Home State Health Plan $12 - $14 154%
Healthscope Benefits $13 167%
Naphcare $15 193%
United Behavioral Health Mcd $38 489%
Self Pay $51 - $90 656%
Cigna $59 759%
Access Health Services, Llc $122 1570%
Aetna $124 - $150 1596%
Healthlink $131 - $150 1686%
Blue Traditional $134 - $140 1725%
Multiplan Primary $141 1815%
Coventry Wc $150 1931%
Multiplan $152 1956%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals