CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Richland Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $149
Cash Discount Price: $180
vs. Medicare Baseline: 19.18x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Richland Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 19.18x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$180

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $180 (2317%)

Insurance Median: $149 (1918%)

Cash: $180 (2317% of Medicare)

Ins. Median: $149 (1918% 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 1918% of the Medicare baseline (a markup of 1818%). 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	$8 - $202	103%
Care Wisconsin	$8 - $3,902	103%
Dean Health Plan	$8 - $3,902	103%
Health Tradition	$8 - $3,902	103%
Quartz	$8 - $3,902	103%
UnitedHealthcare	$8 - $3,902	103%
Security Health	$79	1017%
Group Health Coop Of Eau Claire	$85 - $3,902	1094%
Humana	$94 - $3,902	1210%
Cigna	$148	1905%
Employer Health Care Alliance	$148 - $158	1905%
Aetna	$202	2600%

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 $180.
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 Richland 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.