CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Lee County Community Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $13
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Lee County Community Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.67x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $13 (167%)
Insurance Median: $13 (167%)
Cash: $13 (167% of Medicare)
Ins. Median: $13 (167% 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
Blue Cross Blue Shield $8 - $58 103%
UnitedHealthcare $8 - $13 103%
Aetna $9 - $58 116%
Molina Healthcare $9 - $13 116%
Optima Health $9 116%
Ambetter / Centene $13 167%
Amerigroup $13 - $58 167%
Cigna $13 - $58 167%
Devoted Health Plan $13 167%
Humana $13 167%
Managed Medicaire $13 167%
Medicare (plans) $13 167%
Mountain Empire Pace $13 167%
Nhc Advantage $13 167%
Sentara Health $13 - $15 167%
United Mine Workers Of America $13 167%
Seven Corners, Inc. $31 399%
First Health Coventry $58 746%
Medcost $58 746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals