CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $11
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Poplar Bluff Regional Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $22 (283%)
Insurance Median: $11 (142%)
Cash: $22 (283% of Medicare)
Ins. Median: $11 (142% 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
Blue Cross Blue Shield $2 - $230 26%
Medicaid / KanCare $2 - $178 26%
Self Pay $2 - $213 26%
Access Health Services, Llc $4 - $506 51%
Cigna $4 - $710 51%
Evolutions Healthcare $4 - $484 51%
Tyson Foods $4 - $488 51%
UnitedHealthcare $4 - $478 51%
First Health $5 - $577 64%
Healthlink $5 - $555 64%
Parker Hannifin $5 - $622 64%
Blue Traditional $6 - $685 77%
Coventry Wc $6 - $710 77%
Municipal Health $6 - $710 77%
Compresults Wc $7 - $799 90%
Multiplan $7 - $773 90%
Node Champva $7 90%
Phcs $7 - $773 90%
Tricare $7 90%
Blue Access $8 103%
Centurion Correctional $8 - $10 103%
Humana $8 103%
Medicare (plans) $8 103%
Node Ahs Mcr Adv $8 103%
Node Devoted Health Mcr Adv $8 103%
Node Hospice Non Par Agree $8 103%
Node United Behavioral Health Mcr Adv $8 103%
Node Va $8 103%
Veterans Eval Services $8 103%
Node Pphp Mcr Adv $9 116%
Us Department Of Labor $10 129%
Naphcare $15 193%
Home State Exchange $19 245%
W W Wood $19 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals