CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Carolinas Rehabilitation

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $117
Cash Discount Price: $135
vs. Medicare Baseline: 15.06x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Carolinas Rehabilitation is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 15.06x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$135

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $135 (1737%)

Insurance Median: $117 (1506%)

Cash: $135 (1737% of Medicare)

Ins. Median: $117 (1506% 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 1506% of the Medicare baseline (a markup of 1406%). 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
Aetna	$8 - $230	103%
Blue Cross Blue Shield	$8 - $130	103%
Cigna	$8 - $183	103%
Humana	$8	103%
UnitedHealthcare	$8 - $178	103%
Choicecare	$9 - $211	116%
Amerihealth Caritas	$10 - $105	129%
Carolina Complete Health	$10 - $107	129%
Healthy Blue	$10 - $107	129%
Wellcare	$10 - $107	129%
Ambetter / Centene	$13 - $101	167%
Medcost	$17 - $182	219%
Employers Health Network	$120 - $144	1544%
Physician Reach Out	$135	1737%
Quik Trip	$176	2265%
Healthgram	$217	2793%
Private Health Care Systems	$222	2857%
First Health	$230	2960%
Beechstreet	$249	3205%
Multiplan	$249	3205%

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 $135.
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 Carolinas Rehabilitation 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.