CMS Price Transparency Data
Blood test, complete blood count (CBC)
Facility: Sanford Clear Lake Medical Center
Billing Code: 85025 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$12
about 1.5× the $8 Medicare rate · typically $8–$75
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $12 Cash price $67 Hospital's list price $84
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $47 - $70 | 605% |
| Blue Cross Blue Shieldmajor | $46 - $82 | 592% |
| Aetnamajor | $47 - $73 | 605% |
| Cignamajor | $76 | 978% |
| Health Net | $76 | 978% |
| HealthPartners | $47 - $63 | 605% |
| Medica | $69 - $74 | 888% |
| Sanford Health Plan | $43 - $78 | 553% |
| Security Health Plan | $46 | 592% |
| UCare | $46 - $74 | 592% |
| + 2 smaller / regional plans | $48 - $76 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sanford Clear Lake Medical Center
Compare: Blood test, complete blood count (CBC) at other SD hospitals
- Sanford Usd Medical Center · Sioux Falls $8
- Black Hills Surgical Hospital LLC · Rapid City $8
- Sanford Medical Center Aberdeen · Aberdeen $8
- Faulkton Area Medical Center · Faulkton $8
- Monument Health Rapid City Hospital · Rapid City $12
- Dunes Surgical Hospital · Dakota Dunes $15
Insurance negotiated median for the same procedure, sorted lowest first.