CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Island Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $31
Cash Discount Price: $68
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Island Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 3.99x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $68 (875%)

Insurance Median: $31 (399%)

Cash: $68 (875% of Medicare)

Ins. Median: $31 (399% 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 399% of the Medicare baseline (a markup of 299%). 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
Amerigroup Mcaid - All Plans	$4 - $30	51%
Coordinated Care Mcaid - All Plans	$4	51%
Molina Mcaid - All Plans	$19 - $28	245%
Aarp Mcr Adv - All Plans	$20	257%
Humana	$20 - $69	257%
Samish Indian Health - All Plans	$20	257%
Aetna	$21 - $77	270%
Chpw Mcaid - All Plans	$21 - $31	270%
Regence Mcr Adv	$21	270%
Swinomish Indian Health - All Plans	$29	373%
Tricare	$29	373%
UnitedHealthcare	$29	373%
Premera Mcr Adv	$31	399%
Regence Comm - All Other Plans	$41 - $61	528%
Cigna	$44 - $65	566%
First Choice - All Plans	$47 - $69	605%
First Health - All Plans	$47 - $69	605%
Multiplan - All Plans	$47 - $69	605%
Premera Comm - All Other Plans	$54	695%

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 $68.
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 Island 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.