CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Erlanger Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $11
Cash Discount Price: $76
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Erlanger Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $76 (978%)

Insurance Median: $11 (142%)

Cash: $76 (978% of Medicare)

Ins. Median: $11 (142% 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
Humana	$2 - $12	26%
UnitedHealthcare	$3 - $11	39%
Amerigroup	$4 - $15	51%
Bluecard - Network P	$6 - $22	77%
Bluecard - Network S	$6 - $22	77%
Aetna	$8 - $122	103%
Alexian	$8 - $25	103%
American Health	$8	103%
Blue Cross Blue Shield	$8 - $200	103%
Bluecare	$8 - $43	103%
Caresource	$8 - $16	103%
Cigna	$8 - $112	103%
Clover	$8	103%
Devoted Health	$8 - $19	103%
Nhc	$8	103%
Upmc	$8	103%
Wellpoint	$8	103%
Atrio Health	$9 - $23	116%
Ambetter / Centene	$10	129%
Caresource Ga	$11 - $20	142%
Caresource Nc	$11 - $20	142%
Caresource Tn	$11 - $20	142%
Point Comfort Underwriters	$14 - $23	180%
Pruitthealth Premier	$17 - $27	219%
Pnoa	$19	245%
Olympus	$138 - $188	1776%
Alliant	$188	2420%
First Health	$200 - $212	2574%

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 $76.
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 Erlanger Medical Center 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.