CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Hillcrest Hospital Cushing

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $332
Cash Discount Price: $142
vs. Medicare Baseline: 42.73x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Hillcrest Hospital Cushing is $332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 42.73x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$332

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: $142 (1828%)

Insurance Median: $332 (4273%)

Cash: $142 (1828% of Medicare)

Ins. Median: $332 (4273% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 4273% of the Medicare baseline (a markup of 4173%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Black Lung [6055]	$118	1519%
Healthcare Highways [2210]	$118 - $141	1519%
Hooray Health [8000]	$118	1519%
Lucent Health [6000]	$118	1519%
Oncology Patient Assistance Programs [2295]	$118	1519%
Oscar Insurance Company [7005]	$118	1519%
Healthscope Benefits [2290]	$129	1660%
UnitedHealthcare	$129 - $234	1660%
Web Tpa [2115]	$141	1815%
Cigna	$231	2973%
Healthpartners [1500]	$231	2973%
National Association Of Letter Carriers [1695]	$231	2973%
Pba [1775]	$231	2973%
Global Health [1430]	$293	3771%
First Health [1375]	$328 - $416	4221%
Multiplan [1680]	$328 - $416	4221%
Healthcare Solutions [1485]	$336	4324%
Community Care [1290]	$393	5058%
Fmh Benefit Services [1390]	$393	5058%
Group Resources [1455]	$393	5058%
Phcs [1780]	$393 - $416	5058%
Healthsmart [1505]	$402	5174%
Administrative Concepts [1005]	$416	5354%
Allied Benefit Systems Inc [1030]	$416	5354%
Allied National Global Care [1035]	$416	5354%
Gilsbar [1425]	$416	5354%
Healthnet [1495]	$416	5354%
Mutual Of Omaha [1685]	$416	5354%
New Era Life Insurance Company [1705]	$416	5354%
Pan American Life Insurance Co [1770]	$416	5354%
Trustmark [2030]	$416	5354%
Universal Fidelity [2085]	$416	5354%
Pending Ssi [1616]	$473	6088%

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 $142.
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 Hillcrest Hospital Cushing 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.