CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $46
Cash Discount Price: $62
vs. Medicare Baseline: 5.92x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Baylor Scott & White Medical Center -Taylor is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 5.92x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $62 (798%)

Insurance Median: $46 (592%)

Cash: $62 (798% of Medicare)

Ins. Median: $46 (592% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 592% of the Medicare baseline (a markup of 492%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$9	116%
Baylor Scott & White Health Plan	$21 - $44	270%
Triwest	$22	283%
American Health Plan	$23	296%
Blue Cross Blue Shield	$23 - $46	296%
Corvel	$23	296%
Healthspring	$23	296%
Prime Health Services	$23	296%
Procare Advantage	$23	296%
Superior Health Plan	$23	296%
Careworks Fka Rockport	$27	347%
Injury Management Organization	$27	347%
Sedgwick	$27	347%
Cigna	$53 - $63	682%
Aetna	$57	734%
Midcoast	$57	734%
Quiktrip	$57	734%
University Of Mary Hardin-Baylor	$60	772%
Independent Medical System	$62	798%
Curative	$68	875%
Humana	$68 - $73	875%
First Health	$73	940%
Healthsmart	$73 - $78	940%
Private Health Care System	$78	1004%
Bluebell Creameries	$83	1068%
Three Rivers	$83	1068%

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 $62.
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 Baylor Scott & White Medical Center -Taylor 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.