CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Jersey City Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Jersey City Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 355 Grand Street, Jersey City, NJ.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $9 (116%)
Insurance Median: $8 (103%)
Cash: $9 (116% of Medicare)
Ins. Median: $8 (103% 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 $4 - $8 51%
Fidelis Care $7 - $8 90%
Blue Cross Blue Shield $8 - $133 103%
Wellpoint $8 103%
Humana $8 103%
Clover Health $8 103%
Aetna $8 - $44 103%
Emblem Health $15 193%
Wellcare $15 193%
Amerihealth $21 270%
Cigna $32 412%
First Health $88 1133%
Qualcare Inc $103 1326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 Grand Street, Jersey City, NJ 07302
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals