CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Christus Santa Rosa Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Christus Santa Rosa Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$101

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: $101 (1300%)
Insurance Median: $8 (103%)
Cash: $101 (1300% 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
Texas Healthspring $4 51%
UnitedHealthcare $7 - $344 90%
Aetna $8 - $15 103%
Allwell $8 103%
Amerigroup $8 - $37 103%
Blue Cross Blue Shield $8 - $29 103%
Christus Health $8 - $11 103%
Community First $8 - $37 103%
Coventry $8 103%
Devoted Health Plan $8 103%
Driscoll Children'S Health Plan $8 103%
El Paso First $8 103%
First Care $8 103%
Humana $8 - $20 103%
Molina $8 103%
Provider Partners Health Plan $8 103%
Shared Health Insurance Company $8 103%
Superior $8 103%
Texas Childrens Health Plan $8 103%
Texas Independence Health Plan $8 103%
Triwest $8 103%
Us Imaging Network $8 103%
Wellcare $8 103%
Employer Direct $9 116%
Imperial Health Plan $9 116%
Medicare (plans) $9 116%
Procare Advantage $9 116%
Gilsbar Inc. $10 129%
Naphcare Inc. $16 206%
Cigna $31 - $40 399%
Community First Health Plan $135 1737%
Healthcare Highways $138 1776%
Christian Brothers Services $168 2162%
First Health $199 2561%
Healthsmart $199 - $245 2561%
Multiplan $199 2561%
Phcs $199 2561%
Five Point Credit Union $214 2754%
Medicus Internatiaonal $230 2960%
Beech Street $245 3153%
Health Management Network $245 3153%
Provider Select $245 3153%
National Choicecare $291 3745%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals