CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Frances Mahon Deaconess Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $139
  • Cash Discount Price: $131
  • vs. Medicare Baseline: 17.89x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Frances Mahon Deaconess Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 17.89x the Medicare baseline. Located in 621 3Rd St S, Glasgow, MT.
Cash / Self-Pay
$131

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $131 (1686%)
Insurance Median: $139 (1789%)
Cash: $131 (1686% of Medicare)
Ins. Median: $139 (1789% 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 1789% of the Medicare baseline (a markup of 1689%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $67 - $136 862%
Humana $67 862%
Ihs-All Plans $67 862%
UnitedHealthcare $67 - $139 862%
Allegiance Mt $139 1789%
Cigna $139 1789%
First Choice Health-All Plans $139 1789%
Health Infonet-All Plans $139 1789%
Interwest-All Plans $139 1789%
Multiplan-All Plans $139 1789%
Pacific Source-All Plans $139 1789%
Three Rivers-All Plans $139 1789%
Geha-All Plans $142 1828%
Montana Co-Op-All Plans $142 1828%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 621 3Rd St S, Glasgow, MT 59230
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals