Blood test, complete blood count (CBC)
Facility: Shirley Ryan Abilitylab
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $120
- Cash Discount Price: $119
- vs. Medicare Baseline: 15.44x 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 1544% of the Medicare baseline (a markup of 1444%). 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 |
|---|---|---|
| Wellcare Meridian Fide | $8 | 103% |
| Advocate Health Partners | $8 - $198 | 103% |
| Tricare | $8 | 103% |
| Aetna | $8 - $11 | 103% |
| Humana | $8 | 103% |
| Health Care Services Corporation | $8 - $95 | 103% |
| UnitedHealthcare | $8 | 103% |
| Meridian Health Plan | $10 | 129% |
| Blue Cross Blue Shield | $10 - $92 | 129% |
| County Care | $10 | 129% |
| Uic Physician Group-Campuscare | $81 - $109 | 1042% |
| State of Illinois | $86 - $105 | 1107% |
| Personalcare Insurance of Il/Firsthealth Grp Corp/Coventryhealth and Life Insurance Co | $86 - $168 | 1107% |
| Hfn | $94 - $178 | 1210% |
| Coventry Workers Comp | $97 | 1248% |
| Affordable Health Care Concepts | $97 - $119 | 1248% |
| University of Chicago Practice Plan | $97 - $129 | 1248% |
| Multiplan | $97 | 1248% |
| Corvel Corporation | $97 | 1248% |
| Paradigm Health Corporation | $99 - $170 | 1274% |
| Endeavor Health Sites 243/447 Northshore and Edwards | $109 | 1403% |
| Uic Physician Group | $109 - $160 | 1403% |
| Health Care Services Corporation DBA Managed Care Network Preferred | $110 - $176 | 1416% |
| Union Health Service | $111 | 1429% |
| Cigna | $111 - $122 | 1429% |
| Gallagher Benefit Administrators | $122 - $148 | 1570% |
| Unicare Life and Health Insurance | $126 - $154 | 1622% |
| Loyola University Physician Foundation | $129 | 1660% |
| Private Healthcare Systems | $130 - $158 | 1673% |
| Resurrection Health Care Preferred | $130 - $158 | 1673% |
| Cofinity Aka Ppom | $138 - $168 | 1776% |
| Health Payors Organization | $138 - $168 | 1776% |
| Advocate and Advocate Health Partners | $139 | 1789% |
| Healthnetwork | $143 - $188 | 1840% |
| Health Care Services Corporation D/B/A HMO Illinois | $154 | 1982% |