CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Methodist McKinney Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $8
Cash Discount Price: $157
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Methodist McKinney Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$157

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $157 (2021%)

Insurance Median: $8 (103%)

Cash: $157 (2021% 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.

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	$5 - $8	64%
Aetna	$8 - $28	103%
American Health Advantage Of Texas [7099]	$8	103%
Cigna	$8	103%
Globalhealth [1003]	$8	103%
Humana	$8	103%
Medicare (plans)	$8	103%
Procare Advantage [7018]	$8	103%
Provider Partners Health Plan [7025]	$8	103%
Southwestern Health Resources Swhr [7015]	$8	103%
UnitedHealthcare	$8	103%
Ust Health Proof [1005]	$8	103%
Wellcare [7016]	$8	103%
Alternative Service Concepts [8005]	$10	129%
Oscar Insurance Company [2057]	$10	129%
Bright Healthcare [2222]	$11	142%
Molina [3017]	$11	142%
Wellpoint Marketplace Exchange [3071]	$12	154%
90 Degree Benefit [3057]	$13	167%
Allied National [2031]	$13	167%
Ambetter / Centene	$13	167%
Entrust/90 Degree [2058]	$13	167%
Friday Health Plan [2061]	$13	167%
Imperial Insurance Companies [3073]	$14	180%
Evry Health [1013]	$16	206%
Sana Benefits [3069]	$16	206%
Velocity [3070]	$16	206%
Web Tpa [3049]	$25 - $28	322%

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 $157.
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 Methodist McKinney Hospital 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.