CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Blount Memorial Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $12
Cash Discount Price: $48
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Blount Memorial Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $48 (618%)

Insurance Median: $12 (154%)

Cash: $48 (618% of Medicare)

Ins. Median: $12 (154% 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.

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
Medicaid / KanCare	$3 - $12	39%
Golden Rule Insurance Company [2991]	$5	64%
Oxford Health Plans [2992]	$5	64%
UnitedHealthcare	$5 - $10	64%
Cigna	$6 - $10	77%
Mvp Health Care [3037]	$6	77%
Tricare	$7	90%
Blue Cross Blue Shield	$8 - $40	103%
Humana	$8	103%
Medicare (plans)	$8	103%
Ambetter / Centene	$12	154%
Consociate Health Contracted [4835]	$17	219%
Fairos/Occunet Contracted [4837]	$18	232%
Prisma Health Seniorcare Pace - Midlands [5400]	$36	463%
Prisma Health Seniorcare Pace-Upstate [5200]	$36	463%
Promise Health Plan Contracted [2401]	$54 - $93	695%
Orangeburg Senior Helping Center Pace [5401]	$62	798%
Bob Jones Univ-Pai [821]	$93	1197%
Preferred Administrators Contracted [2839]	$108	1390%
Medcost [2940]	$115 - $129	1480%
Atlantic Packaging Contracted [4833]	$116	1493%
Aps Healthcare System [2981]	$124	1596%
Multiplan/Phcs Contracted [2950]	$138	1776%
Aetna	$140	1802%
Meritain Health Contracted [2200]	$140	1802%
Nippon [2300]	$140	1802%
Vsp Vision Care [2986]	$140	1802%
First Health Contracted [2952]	$144	1853%
Furman Int/Allen University Student [2951]	$144	1853%
Quiktrip-First Health [3067]	$144	1853%

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 $48.
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 Blount Memorial Hospital 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.