CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Mercy Hospital - Cassville

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $82
Cash Discount Price: $66
vs. Medicare Baseline: 10.55x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Mercy Hospital - Cassville is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 10.55x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $66 (849%)

Insurance Median: $82 (1055%)

Cash: $66 (849% of Medicare)

Ins. Median: $82 (1055% 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 1055% of the Medicare baseline (a markup of 955%). 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 - $91	90%
Humana	$7 - $87	90%
Medicaid / KanCare	$7 - $53	90%
Blue Cross Blue Shield	$8 - $99	103%
Medicare (plans)	$8 - $44	103%
UnitedHealthcare	$11 - $97	142%
Dept Of Veteran Affairs Contracted [320106]	$35	450%
Tricare	$41	528%
Cherokee Nation Health Serv Contracted [320066]	$42	541%
Cigna	$42 - $97	541%
Cross Timbers Hospice [20098]	$42	541%
Elara Caring Aspire Hospice [20433]	$42	541%
Globalhealth Contracted [320145]	$42	541%
Halo Hcr Inc Hospice Contracted [320432]	$42	541%
Halo Hcr Inc Hospice [20432]	$42	541%
Indian Health Service Contracted [320198]	$42	541%
Kindful Hospice Contracted [320434]	$42	541%
Kindful Hospice [20434]	$42	541%
Medical Associates Health Contracted [320444]	$42	541%
Mercy Hospice Okc [20252]	$42	541%
Mercy Mgd Behavioral Health Contracted [320259]	$42	541%
Pace Of The Ozarks Contracted [320518]	$42	541%
Provider Partners Health Plans Contracted [320450]	$42	541%
Qual Choice Contracted [320325]	$42	541%
Healthscope Contracted [320182]	$43	553%
Administrative Payor Contracted [320005]	$46	592%
Centivo Contracted [320505]	$52	669%
Ambetter / Centene	$53	682%
Home State Health Plan Contracted [320187]	$53	682%
Novasys Contracted [320285]	$53	682%
Healthlink Contracted [320179]	$66 - $92	849%
Preferred Health Plan Contracted [320522]	$66	849%
Health Systems Inc Contracted [320174]	$82	1055%
Insurance System Inc Contracted [320465]	$82	1055%
Point C Contracted [320238]	$82 - $92	1055%
Point C [20238]	$82	1055%
United Medical Resources Contracted [320454]	$82 - $87	1055%
Workers Comp [20426]	$82 - $92	1055%
Municipal Health Plan Contracted [320271]	$83	1068%
Medica Contracted [320239]	$91	1171%
90 Degree Benefits Contracted [320436]	$92	1184%
Aither Health Contracted [320449]	$92	1184%
American Healthcare Alliance Contracted [320020]	$92	1184%
Auxiant Contracted [320462]	$92	1184%
Benefit Management Contracted [320052]	$92	1184%
Ebms Contracted [320493]	$92	1184%
Edison Health Solutions Contracted [320502]	$92	1184%
Evolutions Health Care Contracted [320124]	$92	1184%
Imagine 360 Contracted [320494]	$92	1184%
Mercy Benefit Admin Contracted [320251]	$92	1184%
Reflect Health Contracted [320492]	$92	1184%
Show-Me Health Administrators Contracted [320483]	$92	1184%
Usa Managed Care Org Contracted [320429]	$92	1184%
Yuzu Health Contracted [320521]	$92	1184%
First Health Contracted [320128]	$97	1248%
Multiplan Contracted [320270]	$97	1248%
Private Health Care Systems Contracted [320320]	$97	1248%

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 $66.
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 Mercy Hospital - Cassville 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.