CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Cass Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $125
Cash Discount Price: $165
vs. Medicare Baseline: 16.09x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Cass Regional Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 16.09x the Medicare baseline. Located in 2800 E Rock Haven Road, Harrisonville, MO.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $165 (2124%)

Insurance Median: $125 (1609%)

Cash: $165 (2124% of Medicare)

Ins. Median: $125 (1609% 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 1609% of the Medicare baseline (a markup of 1509%). 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
UnitedHealthcare	$8 - $62	103%
Cigna	$29 - $75	373%
Blue Cross Blue Shield	$67 - $137	862%
Ambetter / Centene	$91 - $102	1171%
Humana	$107 - $148	1377%
Oscar	$112 - $124	1441%
Ivl/Carelink	$121 - $135	1557%
Aetna	$135 - $224	1737%
Wppa Unified Health Plan	$167 - $187	2149%
Multiplan	$187 - $209	2407%
Coventry Leased	$216 - $241	2780%

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 $165.
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 Cass Regional Medical Center 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.