CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Merit Health Central

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Merit Health Central is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $2 (26%)
Insurance Median: $8 (103%)
Cash: $2 (26% of Medicare)
Ins. Median: $8 (103% 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
UnitedHealthcare $1 - $130 13%
Cigna $2 - $121 26%
Self Pay $2 - $153 26%
Trimed Billing Solutions $2 - $184 26%
Ms State Hospital Of Whitfield $3 - $233 39%
First Choice Mpcn Standard $4 - $337 51%
First Choice Ppo Plus $4 - $276 51%
First Choice Standard $4 - $282 51%
Benefit Management Systems $6 - $521 77%
Citizens State Bank Inc $6 - $521 77%
First Choice Stratose $6 - $490 77%
Prime Health Services $6 - $490 77%
Tricare $6 - $7 77%
American Health Group $7 - $521 90%
Beech Street $7 - $521 90%
Caresource Truecare $7 90%
Hinds County Prisoners $7 90%
Magnolia Mcd Ms Chip $7 90%
Medicaid / KanCare $7 - $8 90%
Node Champva $7 90%
One Health Plan $7 - $552 90%
Advanced Health Systems $8 - $11 103%
Aetna $8 - $500 103%
Blue Cross Blue Shield $8 - $11 103%
Humana $8 103%
Medicare (plans) $8 103%
Molina $8 103%
Molina Chip $8 103%
Molina Exchange $8 - $14 103%
Ms Dept Of Rehabilitation Services $8 - $613 103%
Node Devoted Health Mcr Adv $8 103%
Node First Choice American Health Of Ms Mcr Adv $8 103%
Node First Choice Shared Health Of Ms Mcr Adv $8 103%
Node First Choice Wellcare Mcr Adv $8 103%
Node Hospice Non Par Agree $8 103%
Node Magnolia Mcr Adv $8 103%
Node Va $8 103%
Node Vantage Health Mcr Adv $8 103%
Seven Corners $8 - $13 103%
Veterans Eval Services $8 103%
Node Healthy Mississippi Mcr Adv $9 116%
Node Us Dept Of Labor $10 129%
First Choice Preferred $12 154%
Occunet $12 154%
Magnolia Exchange $14 180%
Ms Work Comp $14 180%
Prime Work Comp $14 180%
First Choice Lgp $17 219%
Vantage Health Commercial $17 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals