CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Jamaica Hospital Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Jamaica Hospital Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$23

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: $23 (296%)
Insurance Median: $8 (103%)
Cash: $23 (296% 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 - $11 51%
Elderplan $7 90%
Fidelis $7 - $8 90%
Ghi $7 - $8 90%
Healthfirst $7 90%
Aetna $8 103%
Beacon Health Strategies $8 103%
Centerlight Healthcare $8 103%
Empire $8 - $18 103%
Hip $8 - $12 103%
Humana $8 103%
Metroplus $8 - $9 103%
Oscar $8 103%
Senior Whole Health $8 103%
Villagecaremax $8 103%
Vns $8 103%
Wellcare Of Ny $8 103%
Centers Plan For Healthy Living $9 116%
Hamaspik Choice $9 116%
Magnacare $9 116%
Centivo $10 129%
World Trade Center Program $10 129%
1999 National Benefit Fund $11 142%
Emblemhealth $13 167%
Cigna $14 180%
Empire Blue Priority $15 193%
Hotel Trades Council $1,912 24607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals