CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Frye Regional Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $14
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Frye Regional Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.80x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $124 (1596%)
Insurance Median: $14 (180%)
Cash: $124 (1596% of Medicare)
Ins. Median: $14 (180% 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 $7 - $145 90%
Aetna $8 103%
Amerihealth Caritas Next $8 103%
Cigna $8 103%
Healthyblue Nc $8 103%
Humana $8 103%
Ambetter / Centene $9 116%
Amerihealth Caritas North Carolina $14 180%
Blue Cross Blue Shield $14 - $29 180%
Carolina Complete Health Inc. $14 180%
Paradigm $14 180%
Partners Health Management $14 180%
Vaya Health $14 180%
Wellcare Of North Carolina, Inc $15 193%
Hancock &Amp; Moore $23 296%
Sherrill Furniture $23 296%
State Health Plan $28 360%
Rhf Investments $56 721%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals