CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Tennova Healthcare - Newport Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$74

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: $74 (952%)
Insurance Median: $8 (103%)
Cash: $74 (952% 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
Amerigroup $3 - $8 39%
Medicaid / KanCare $4 51%
UnitedHealthcare $4 - $314 51%
Node Champva $7 90%
Tricare $7 90%
Aetna $8 - $195 103%
Blue Cross Blue Shield $8 - $59 103%
Humana $8 103%
Medicare (plans) $8 103%
Node Bluecare Plus Tn Mcr Adv $8 103%
Node Devoted Health Mcr Adv $8 103%
Node Farm Bureau Mcr Adv $8 103%
Node Healthspring Mcr Adv $8 103%
Node Hospice Non Par Agree $8 103%
Node Nhc Mcr Adv $8 103%
Node Va $8 103%
Node Wellcare Mcr Adv $8 103%
Tennessee Breast And Cervical Screening Program $8 103%
Veterans Eval Services $8 103%
Windsor Health Plan $8 103%
Us Department Of Labor $10 129%
Cigna $12 154%
Novanet Work Comp Tn $12 154%
Tn Work Comp $12 154%
Ambetter / Centene $14 180%
Bluecare $16 - $17 206%
Point Comfort Underwriters $17 219%
Self Pay $74 952%
Multiplan $245 3153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals