CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Thomas Jefferson University Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $9
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Thomas Jefferson University Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 111 South 11Th Street, Philadelphia, PA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $9 (116%)
Insurance Median: $9 (116%)
Cash: $9 (116% of Medicare)
Ins. Median: $9 (116% 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 $5 - $54 64%
Medicare (plans) $5 - $9 64%
Ibc $6 - $35 77%
Jefferson Health Plan Aca Qhp Exchange $7 90%
Aetna $8 - $37 103%
Cigna $8 - $12 103%
Devoted Health Participation $8 103%
Humana $8 103%
Innovage $8 103%
Inspira Life $8 103%
Keystone First Vip Choice $8 103%
Medicaid / KanCare $8 - $11 103%
Pa Health_Wellness Chc $8 103%
Point Of Comfort Refugee Resettlement $8 103%
Provider Partners Health Plan $8 103%
St Agnes $8 103%
Tricare $8 103%
UnitedHealthcare $8 103%
Allwell Pa Health_Wellness Ma $9 116%
Highmark Wholecare Gateway $9 116%
Perennial $9 116%
Ibc Employee Benefit $10 129%
Ibc Main Line Health $10 129%
Ambetter / Centene $11 142%
Naphcare $12 - $15 154%
Upmc Commercial $12 154%
Keystone First $17 219%
Highmark $19 - $22 245%
Geisinger Health Plan $32 412%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals