CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Bella Vista Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Bella Vista Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$15

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: $15 (193%)
Insurance Median: $8 (103%)
Cash: $15 (193% 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
Acaa $5 64%
First Medical Vital $7 90%
Plan Salud Menonita Vital $7 - $8 90%
Asociacion Maestros (Prossam) $8 103%
Champva $8 103%
Fondo Del Seguro Del Estado $8 - $9 103%
International Medical Card $8 - $9 103%
Medicare (plans) $8 - $9 103%
Plan Salud Menonita $8 - $10 103%
Preferred Medical Choice(Pmc) $8 103%
Servicios De Salud Bella Vista $8 103%
Tricare $8 103%
Triple S Advantage $8 103%
UnitedHealthcare $8 103%
Mcs $9 116%
Triple S $9 116%
Mapfre Life Insurance Life Insurance $11 142%
Triple S Vital $12 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals