CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: St Charles Hospital
Billing Code: 85025 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85025
- Insurance Median: $11
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at St Charles Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
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%)
Insurance Median: $11 (142%)
Ins. Median: $11 (142% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Affinity Health Plan | $3 - $7 | 39% |
| Beacon Health Options | $3 - $11 | 39% |
| Beacon Health Strategies | $3 - $11 | 39% |
| Centerlight Healthcare | $3 - $8 | 39% |
| Elderplan Inc. | $3 - $8 | 39% |
| Emblem Health | $3 - $17 | 39% |
| Fidelis Care New York | $3 - $8 | 39% |
| Health First | $3 - $17 | 39% |
| Health Plus | $3 - $8 | 39% |
| Independent Health | $3 - $8 | 39% |
| Medicaid / KanCare | $3 | 39% |
| Mvp Health Plans | $3 - $19 | 39% |
| Senior Whole Health | $3 - $8 | 39% |
| UnitedHealthcare | $3 - $29 | 39% |
| Aetna | $8 - $11 | 103% |
| Agewell New York | $8 | 103% |
| Blue Cross Blue Shield | $8 - $29 | 103% |
| Centers Plan For Healthy Living | $8 | 103% |
| Healthspring | $8 | 103% |
| Humana | $8 | 103% |
| Liberty Health | $8 | 103% |
| Longevity Health Plan | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Orthonet - Uniformed Services Family Health Plan | $8 | 103% |
| Partners Health Plan | $8 | 103% |
| Pmc | $8 | 103% |
| Surest | $8 | 103% |
| Tricare | $8 | 103% |
| Universal Healthcare | $8 | 103% |
| Us Family Health Plan | $8 | 103% |
| Veterans Affairs | $8 | 103% |
| Wellcare Health Plan Inc | $9 | 116% |
| Zadroga | $10 | 129% |
| Mail Handlers Benefit Plan | $11 | 142% |
| Meritain Health | $11 | 142% |
| Nippon Life Insurance Company Of America | $11 | 142% |
| Salvation Army | $11 | 142% |
| Centivo | $12 - $19 | 154% |
| American Plan Administrators | $17 | 219% |
| Amerihealth Administrators | $17 | 219% |
| Benefit Services | $17 | 219% |
| Ghi Cbp Ny City Employee Alternate | $17 | 219% |
| International Benefit Administrator | $17 | 219% |
| Ultra Benefits Inc. | $17 | 219% |
| Apwu | $19 | 245% |
| Cigna | $19 - $164 | 245% |
| Daniel H Cook | $19 | 245% |
| Nalc | $19 | 245% |
| Samba | $19 | 245% |
| Brighton | $20 - $177 | 257% |
| Self Pay | $29 | 373% |
| Local 1199 | $44 | 566% |
| Oscar Health | $57 - $104 | 734% |
| Allied Wellfare Fund | $90 - $164 | 1158% |
| American Group Administrators | $90 - $164 | 1158% |
| Bakery & Confectionery Union | $90 - $164 | 1158% |
| Comprehensive Benefits Consultant | $90 - $164 | 1158% |
| Guardian Life Insurance Company Of America | $90 - $164 | 1158% |
| Maloney And Assoc | $90 - $164 | 1158% |
| Multiplan | $90 - $164 | 1158% |
| Performax | $90 - $164 | 1158% |
| Phcs | $90 - $164 | 1158% |
| Pomco | $90 - $164 | 1158% |
| Tpa Inc | $90 - $164 | 1158% |
| Unicare | $90 - $164 | 1158% |
| United Employees Health Plan | $90 - $164 | 1158% |
| Coventry | $103 - $215 | 1326% |
| Magellan | $111 - $202 | 1429% |
| Galaxy | $125 - $228 | 1609% |
| Three Rivers Provider Network | $125 - $228 | 1609% |
| Aither Health | $139 - $253 | 1789% |
| Alpha Care | $139 - $253 | 1789% |
| Dentaquest | $139 - $253 | 1789% |