Blood test, complete blood count (CBC)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $33
- Cash Discount Price: $34
- vs. Medicare Baseline: 4.25x 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 425% of the Medicare baseline (a markup of 325%). 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 |
|---|---|---|
| Cigna | $8 - $11 | 103% |
| Medicare (plans) | $8 | 103% |
| UnitedHealthcare | $8 | 103% |
| Harvard Pilgrim Healthcare | $8 | 103% |
| Geha | $8 | 103% |
| Aetna | $8 - $11 | 103% |
| Cca Senior Care Options | $8 | 103% |
| Blue Cross Blue Shield | $8 - $33 | 103% |
| Nippon Life Ins | $11 | 142% |
| 1199 National Benefit Fund | $11 | 142% |
| Hap | $11 | 142% |
| Health Partners | $11 | 142% |
| Webtpa | $11 | 142% |
| Gravie Admin Services | $11 | 142% |
| Allegiance | $11 | 142% |
| Luminare Health | $11 | 142% |
| Magnacare | $11 | 142% |
| Allied Benefit Systems | $11 | 142% |
| Meritain | $11 | 142% |
| Diversified Administrators | $16 | 206% |
| Innovative Health Plan II | $16 | 206% |
| Claimdoc | $16 | 206% |
| Connecticut Dept of Correction | $27 | 347% |
| Blue Distinction Transplant | $33 | 425% |
| Health Choices | $33 | 425% |
| Wc Domestic | $33 | 425% |
| Blue Shield - Id (Regence) | $33 | 425% |
| Pre-Employment | $33 | 425% |
| Blue Shield - Ny Highmark Western | $33 | 425% |
| Blue Shield - Wa (Regence) | $33 | 425% |
| Blue Shield - PA (Highmark) | $33 | 425% |
| Blue Shield - Ca | $33 | 425% |
| Blue Shield - Ny Highmark Northeastern | $33 | 425% |
| Kaiser Domestic | $33 | 425% |
| Bcn Domestic | $33 | 425% |
| Unicare | $33 | 425% |
| Blue Care Network | $33 | 425% |
| Blue Benefit Administrators of Massachusetts | $33 | 425% |
| Health New England | $33 | 425% |
| Mvp | $42 | 541% |
| Trinity Health Share | $42 | 541% |
| Medi Share | $42 | 541% |
| PHCS | $42 | 541% |
| Ghc Scw | $42 | 541% |
| Paramount HMO | $42 | 541% |
| Pan-American Life | $42 | 541% |
| Allied National Global Care | $42 | 541% |
| Christian Care Ministry | $42 | 541% |
| Family Life Insurance Company | $42 | 541% |
| Multiplan | $42 | 541% |
| International Benefit Administrators | $42 | 541% |
| Asrm - Reliance Standard Life Insurance | $42 | 541% |
| Dean Health | $42 | 541% |
| Manhattan Life | $42 | 541% |
| Pai | $42 | 541% |
| Lifetime Benefit Solutions | $42 | 541% |
| Prime Health Services | $50 | 644% |
| Connecticare | $51 - $56 | 656% |
| Health Smart | $53 | 682% |