Blood test, complete blood count (CBC)
Facility: Johnson Memorial Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $16
- Cash Discount Price: $110
- vs. Medicare Baseline: 2.06x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 206% of the Medicare baseline (a markup of 106%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $8 - $40 | 103% |
| Harvard Pilgrim Healthcare | $8 | 103% |
| Medicare (plans) | $8 | 103% |
| Cca Senior Care Options | $8 | 103% |
| Cigna | $8 - $45 | 103% |
| Geha | $8 | 103% |
| Aetna | $8 - $16 | 103% |
| Blue Cross Blue Shield | $8 - $17 | 103% |
| Centivo | $10 | 129% |
| Fallon Health | $10 | 129% |
| Connecticare | $13 - $14 | 167% |
| Connecticut Dept of Correction | $13 | 167% |
| Claimdoc | $16 | 206% |
| Meritain | $16 | 206% |
| Allied Benefit Systems | $16 | 206% |
| 1199 National Benefit Fund | $16 | 206% |
| Innovative Health Plan II | $16 | 206% |
| Webtpa | $16 | 206% |
| Diversified Administrators | $16 | 206% |
| Hap | $16 | 206% |
| Gravie Admin Services | $16 | 206% |
| Nippon Life Ins | $16 | 206% |
| Luminare Health | $16 | 206% |
| Blue Shield - Ny Highmark Northeastern | $17 | 219% |
| Health Choices | $17 | 219% |
| Bcn Domestic | $17 | 219% |
| Blue Shield - Wa (Regence) | $17 | 219% |
| Blue Shield - PA (Highmark) | $17 | 219% |
| Unicare | $17 | 219% |
| Blue Shield - Ny Highmark Western | $17 | 219% |
| Wc Domestic | $17 | 219% |
| Blue Shield - Ca | $17 | 219% |
| Pre-Employment | $17 | 219% |
| Blue Care Network | $17 | 219% |
| Blue Benefit Administrators of Massachusetts | $17 | 219% |
| Blue Shield - Id (Regence) | $17 | 219% |
| Blue Distinction Transplant | $17 | 219% |
| Kaiser Domestic | $17 | 219% |
| Wellpoint | $17 | 219% |
| Health New England | $26 | 335% |
| Prime Health Services | $32 | 412% |
| Ghc Scw | $33 | 425% |
| International Benefit Administrators | $33 | 425% |
| Dean Health | $33 | 425% |
| Multiplan | $33 | 425% |
| Pai | $33 | 425% |
| Medi Share | $33 | 425% |
| Manhattan Life | $33 | 425% |
| Family Life Insurance Company | $33 | 425% |
| Asrm - Reliance Standard Life Insurance | $33 | 425% |
| Pan-American Life | $33 | 425% |
| Trinity Health Share | $33 | 425% |
| Paramount HMO | $33 | 425% |
| Allied National Global Care | $33 | 425% |
| Christian Care Ministry | $33 | 425% |
| PHCS | $33 | 425% |
| Mvp | $33 | 425% |
| Lifetime Benefit Solutions | $33 | 425% |
| Health Smart | $34 | 438% |
| United Behavioral Health Eap | $40 | 515% |
| Allegiance | $45 | 579% |
| Magnacare | $45 | 579% |
| Health Partners | $45 | 579% |