CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Mercy Hospital Southeast

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $13
  • Cash Discount Price: $155
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Mercy Hospital Southeast is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.67x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$155

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $155 (1995%)
Insurance Median: $13 (167%)
Cash: $155 (1995% of Medicare)
Ins. Median: $13 (167% 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
Medicaid / KanCare $7 - $36 90%
Aetna $8 - $153 103%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $8 103%
Blue Cross Blue Shield $8 - $227 103%
Cross Timbers Hospice [20098] $8 103%
Dept Of Veteran Affairs Contracted [320106] $8 103%
Elara Caring Aspire Hospice Contracted [320433] $8 103%
Elara Caring Aspire Hospice [20433] $8 103%
Halo Hcr Inc Hospice Contracted [320432] $8 103%
Halo Hcr Inc Hospice [20432] $8 103%
Humana $8 - $203 103%
Kindful Hospice Contracted [320434] $8 103%
Kindful Hospice [20434] $8 103%
Medicare (plans) $8 103%
Mercy Hospice Okc [20252] $8 103%
Pace Of The Ozarks Contracted [320518] $8 103%
Tricare $8 103%
UnitedHealthcare $8 - $19 103%
Provider Partners Health Plans Contracted [320450] $9 116%
United Medical Resources Contracted [320454] $9 116%
Ambetter / Centene $10 129%
Home State Health Plan Contracted [320187] $10 129%
Consociate Consolidated Health Contracted [320490] $11 - $17 142%
Auxiant Contracted [320462] $13 - $15 167%
Centivo Contracted [320505] $13 167%
Ebms Contracted [320493] $13 167%
Healthlink Contracted [320179] $13 - $186 167%
Imagine 360 Contracted [320494] $13 167%
Mercy Benefit Admin Contracted [320251] $13 - $163 167%
Reflect Health Contracted [320492] $13 167%
Yuzu Health Contracted [320521] $13 - $163 167%
Preferred Health Plan Contracted [320522] $14 180%
Hope Trust Contracted [320488] $19 245%
Cigna $21 270%
First Health Contracted [320128] $153 1969%
Health Alliance Contracted [320164] $155 1995%
Aither Health Contracted [320449] $163 2098%
Edison Health Solutions Contracted [320502] $163 2098%
Mercy Benefit Admin [20251] $163 2098%
Workers Comp [20426] $179 - $191 2304%
Multiplan Contracted [320270] $191 2458%
Private Health Care Systems Contracted [320320] $191 2458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals