CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Ascension St John Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Ascension St John Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1923 South Utica Avenue, Tulsa, OK.
Cash / Self-Pay
$45

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: $45 (579%)
Insurance Median: $8 (103%)
Cash: $45 (579% 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
Blue Cross Blue Shield $8 - $17 103%
Champva $8 103%
Community Care - St John Network Senior - Govt $8 103%
Communitycare Senior $8 103%
First Health $8 - $61 103%
Humana $8 103%
Life Pace $8 103%
Longevity Health Plan Of Oklahoma $8 103%
Medicare (plans) $8 103%
UnitedHealthcare $8 - $31 103%
Va Community Care Network $8 103%
Veterans Administration $8 103%
Community Care (Select) 7/1/13 $9 116%
Communitycare (Standard) $9 116%
Ccl&H $10 129%
Smarthealth $11 142%
Aetna $12 154%
Community Care Smarthealth $12 - $19 154%
Communitycare (Select) $12 - $18 154%
Connect Health Benefit $16 206%
Evolutions $16 206%
Kempton Group Administrators $17 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1923 South Utica Avenue, Tulsa, OK 74104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals