CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Trios Health

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $8
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Trios Health is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.03x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $71 (914%)
Insurance Median: $8 (103%)
Cash: $71 (914% 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.

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
Community Health Plan Of Washington $4 51%
Coordinated Care Of Washington Inc $4 51%
Molina Healthcare Of Washington $4 - $8 51%
Wellpoint Washington, Inc. $4 51%
Ods Community Health Inc $6 77%
Veteran Family Member Program $6 77%
Government Employees Health Association $7 90%
UnitedHealthcare $7 - $8 90%
Aetna $8 - $88 103%
Asuris Northwest Health $8 103%
Humana $8 103%
Blue Cross Blue Shield $10 129%
Lifewise Health Plan Of Wa $10 129%
Kfhp Of Wa $32 412%
Kfhp Of Wa Options, Inc $32 412%
Meritain Health $82 1055%
Cigna $111 - $119 1429%
Ods Health Plan Inc $138 1776%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals