CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Hillcrest Hospital South

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $222
Cash Discount Price: $113
vs. Medicare Baseline: 28.57x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Hillcrest Hospital South is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 28.57x the Medicare baseline. Located in 8801 South 101St East Avenue, Tulsa, OK.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $113 (1454%)

Insurance Median: $222 (2857%)

Cash: $113 (1454% of Medicare)

Ins. Median: $222 (2857% 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 2857% of the Medicare baseline (a markup of 2757%). 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
Healthcare Highways [2210]	$94 - $162	1210%
Hooray Health [8000]	$94	1210%
Oncology Patient Assistance Programs [2295]	$94	1210%
Oscar Insurance Company [7005]	$94	1210%
Osma Health Network [2345]	$94	1210%
Healthscope Benefits [2290]	$133	1712%
UnitedHealthcare	$133	1712%
Cigna	$149	1918%
National Association Of Letter Carriers [1695]	$149	1918%
Pba [1775]	$149	1918%
Resource One Administrators [2815]	$162	2085%
Web Tpa [2115]	$162	2085%
The Kempton Group Administrators [2905]	$170	2188%
Medica [2910]	$222	2857%
Multiplan [1680]	$222 - $302	2857%
Community Care [1290]	$283	3642%
Employee Benefit Management Services [2445]	$283	3642%
Phcs [1780]	$283 - $302	3642%
Administrative Concepts [1005]	$302	3887%
Allied Benefit Systems Inc [1030]	$302	3887%
Allied National Global Care [1035]	$302	3887%
Healthcost Solutions [2415]	$302	3887%
Healthfirst [2395]	$302	3887%
Hometown Health [2155]	$302	3887%
Mayo Clinic Health Solutions [2280]	$302	3887%
Mutual Of Omaha [1685]	$302	3887%
New Era Life Insurance Company [1705]	$302	3887%
Pan American Life Insurance Co [1770]	$302	3887%
Planned Administrators Inc [2360]	$302	3887%
Trustmark [2030]	$302	3887%
Universal Fidelity [2085]	$302	3887%

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 $113.
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 South 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.