CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Waupun Memorial Hospital

Billing Code: 85025 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9
about 1.1× the $8 Medicare rate · typically $8–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $8 Fair price $9 This hospital $10 Cash price $75 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $10

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, complete blood count (CBC) is about $9 (about 1.1× the $8 Medicare rate). Waupun Memorial Hospital charges insurers about $10, or about $75 in cash — about the fair price. Located in Waupun, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $8 103%
Blue Cross Blue Shieldmajor $16 206%
+ 2 smaller / regional plans $10 - $14

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 620 W Brown St, Waupun, WI 53963
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals