CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Dell Seton Med Center at the University of Tx

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Dell Seton Med Center at the University of Tx is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 601 E 15Th Street, Austin, TX.
Cash / Self-Pay
$35

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: $35 (450%)
Insurance Median: $8 (103%)
Cash: $35 (450% 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
Blue Cross Blue Shield $2 - $37 26%
Dell Chip/Chip Perinate $2 - $8 26%
Dell Star $2 - $8 26%
UnitedHealthcare $2 - $8 26%
Wellpoint Star $2 - $8 26%
Wellpoint Star Plus $2 - $8 26%
Ambetter / Centene $7 - $9 90%
Wellpoint Chip/Chip Perinate $7 - $8 90%
Wellpoint Star Kids $7 90%
Champva $9 - $10 116%
Humana $13 167%
Cigna $18 232%
Seton Performance Plus $19 245%
Aetna $21 - $58 270%
Superior Star $39 502%
Superior Star Foster $39 502%
Superior Star Kids $39 502%
Superior Star Plus $39 502%
Covenant Health $42 541%
Superior Chip/Chip Perinate $44 566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 E 15Th Street, Austin, TX 78701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals