CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Carolina East Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $88
Cash Discount Price: $73
vs. Medicare Baseline: 11.33x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Carolina East Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 11.33x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $73 (940%)

Insurance Median: $88 (1133%)

Cash: $73 (940% of Medicare)

Ins. Median: $88 (1133% 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 1133% of the Medicare baseline (a markup of 1033%). 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
Humana	$8	103%
Inclusive Health (Nchirp)-All Plans	$8	103%
Tricare	$8 - $139	103%
Pamlico Co Jail-All Plans	$15 - $37	193%
Craven Co. Jail Systems - All Plans	$19 - $47	245%
UnitedHealthcare	$20 - $99	257%
Medcost Ppo Employees And Retirees	$38 - $91	489%
Medcost Ppo Ultra (Employees)	$38 - $87	489%
Blue Cross Blue Shield	$40 - $95	515%
Medcost Ppo City Employees	$42 - $101	541%
Medcost Ppo County Employee	$44 - $105	566%
Benefit Mgmt, Svcs-All Plans	$49 - $118	631%
Aetna	$51 - $123	656%
Medcost Benefit Svc-All Other Plans	$51 - $123	656%
Acs Consult Svc Inc-All Plans	$52 - $126	669%
Medcost Ppo Standard	$52 - $126	669%
Cigna	$53 - $126	682%

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 $73.
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 Carolina East 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.