CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Black River Memorial Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $110
Cash Discount Price: $107
vs. Medicare Baseline: 14.16x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Black River Memorial Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 14.16x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $107 (1377%)

Insurance Median: $110 (1416%)

Cash: $107 (1377% of Medicare)

Ins. Median: $110 (1416% 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 1416% of the Medicare baseline (a markup of 1316%). 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
Blue Cross Blue Shield	$6 - $63	77%
Group Health Cooperative Of Eau Claire	$8 - $119	103%
My Choice Wisconsin, Inc.	$8 - $63	103%
Quartz Health Solutions, Inc	$8 - $112	103%
UnitedHealthcare	$8 - $116	103%
Humana	$59 - $114	759%
Security Health Plan	$59 - $115	759%
Corvel	$71 - $75	914%
The Alliance	$99 - $118	1274%
Triology Health Solutions	$104 - $117	1338%
Medica	$108 - $115	1390%
Association Benefits Solution	$110 - $117	1416%
Family Health Center Of Marshfield	$110 - $117	1416%
First Health Group Corporation	$110 - $117	1416%
Provider Network Of America	$110 - $117	1416%
Cigna	$113 - $119	1454%
Cofinity	$113 - $119	1454%
Coventry Health Care	$113 - $119	1454%
Custom Benefit Administrators	$113 - $119	1454%
Healthpartners, Inc.	$113 - $119	1454%
Multiplan	$113 - $122	1454%
Wisconsin Physicians Service Insurance Corp	$113 - $119	1454%
Chorus	$114 - $121	1467%

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 $107.
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 Black River Memorial 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.