CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Montefiore St Luke's Cornwall

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $12
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Montefiore St Luke's Cornwall is $12. 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 1.54x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $12 (154%)
Ins. Median: $12 (154% 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
Aetna $3 - $12 39%
Blue Cross Blue Shield $3 - $301 39%
Cdphp $3 39%
Centerlight $3 39%
Emblem $3 - $306 39%
Fidelis $3 - $4 39%
Hudson Valley $3 39%
Mediblue $3 39%
Medicaid / KanCare $3 39%
Oscar $3 39%
Point Comfort $3 39%
UnitedHealthcare $3 - $9 39%
Humana $4 51%
Mvp $4 51%
American Postal Workers $9 116%
Northwell $9 116%
Geha $12 154%
Meritain Health $12 154%
Nippon Life Insurance $12 154%
Healthfirst $29 373%
Cigna $76 - $84 978%
Centivo $241 3102%
Seiu1199 $286 3681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals