CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Dell Children's Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $19
Cash Discount Price: $118
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Dell Children's Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 2.45x the Medicare baseline. Located in 4900 Mueller Blvd, Austin, TX.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $118 (1519%)

Insurance Median: $19 (245%)

Cash: $118 (1519% of Medicare)

Ins. Median: $19 (245% 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 245% of the Medicare baseline (a markup of 145%). 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
Blue Cross Blue Shield	$2 - $37	26%
Dell Chip/Chip Perinate	$2 - $8	26%
Dell Star	$2 - $7	26%
UnitedHealthcare	$2 - $7	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 - $96	502%
Superior Star Foster	$39 - $96	502%
Superior Star Kids	$39 - $96	502%
Superior Star Plus	$39 - $96	502%
Covenant Health	$42	541%
Superior Chip/Chip Perinate	$44 - $107	566%

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 $118.
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 Dell Children's Medical Center 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.