CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Mary Lanning Healthcare

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $13
Cash Discount Price: $78
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Mary Lanning Healthcare is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.67x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $78 (1004%)

Insurance Median: $13 (167%)

Cash: $78 (1004% of Medicare)

Ins. Median: $13 (167% 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.

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
Blue Cross Blue Shield	$2 - $150	26%
Nhn/Mna-All Plans	$2 - $121	26%
UnitedHealthcare	$4 - $12	51%
Aetna	$5 - $132	64%
Tricare	$7	90%
Medica Mcr Adv	$8	103%
Ne Total Care Mcr Adv	$8	103%
Va Ccn - All Plans	$8	103%
Consociate Inc-All Plans	$12 - $126	154%
Ambetter / Centene	$13 - $35	167%
Medica-All Other Plans	$14 - $130	180%
Workers Compensation-All Plans	$17 - $147	219%
Multiplan-All Plans	$21 - $142	270%
Provider Network Of America-All Plans	$21 - $135	270%
Midlands Choice-All Plans	$135	1737%

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 $78.
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 Mary Lanning Healthcare 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.