CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Knapp Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Knapp Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$7

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: $7 (90%)
Insurance Median: $8 (103%)
Cash: $7 (90% 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
Corvel $5 64%
Provider Network Of America $6 77%
Zelis Healthcare Fka Stratose $6 77%
Molina $7 - $14 90%
Provider Select $7 90%
Superior Health Plan $7 - $13 90%
Three Rivers $7 90%
UnitedHealthcare $7 - $13 90%
Americas Choice Provider Network (Acpn) $8 103%
Blue Cross Blue Shield $8 - $28 103%
Cigna $8 - $13 103%
Coventry (First Health) $8 103%
Division Of Immigration Health $8 103%
Imperial Insurance Companies $8 103%
Medicare (plans) $8 103%
Multiplan $8 103%
Prime Health Services $8 103%
Provider Partners Health Plan $8 103%
Texas Bluebonnet Health Plan $8 - $13 103%
Tricare $8 103%
Veterans Evaluation Services $8 103%
Wellmed Aarp Ma Fka Physicians Health Choice $8 103%
Worker Comp $8 103%
Frontier Health (Fka Asserta Health) $10 129%
Magic Valley Electric Cooperative $10 129%
Texas Oncology Pa Op $10 129%
Employer Direct Healthcare $11 142%
Corporate Remedies (Wc) $12 154%
Naphcare $12 154%
Medicaid / KanCare $13 167%
Occunet $14 180%
Baker Benefits Administrators $16 206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals