Blood test, complete blood count (CBC)
Facility: Lovelace Women's Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $281
- Cash Discount Price: $94
- vs. Medicare Baseline: 36.16x 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 3616% of the Medicare baseline (a markup of 3516%). 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 |
|---|---|---|
| The Health Plan [2915] | $63 | 811% |
| Healthscope Benefits [2290] | $82 | 1055% |
| UnitedHealthcare | $82 | 1055% |
| Presbyterian Health Plan [1830] | $156 | 2008% |
| Magellan Behavioral Commercial [2895] | $156 | 2008% |
| Zelis [2385] | $156 | 2008% |
| Benefit Management [1175] | $156 | 2008% |
| Mutual of Omaha [1685] | $281 | 3616% |
| First Health [1375] | $281 | 3616% |
| Allied National Global Care [1035] | $281 | 3616% |
| Aetna | $281 | 3616% |
| Fmh Benefit Services [1390] | $281 | 3616% |
| Kaiser Permanente [1560] | $281 | 3616% |
| American Medical Security [2190] | $281 | 3616% |
| PHCS [1780] | $281 | 3616% |
| Emblem Health [2430] | $281 | 3616% |
| Administrative Concepts [1005] | $281 | 3616% |
| Coventry Healthcare [1320] | $281 | 3616% |
| Healthsmart [1505] | $281 - $290 | 3616% |
| Multiplan [1680] | $281 | 3616% |
| Trustmark [2030] | $281 | 3616% |
| Healthcost Solutions [2415] | $281 | 3616% |
| Employee Benefit Management Services [2445] | $281 | 3616% |
| Northamerica Administrators [1725] | $281 | 3616% |
| Allied Benefit Systems Inc [1030] | $281 | 3616% |
| Boon-Chapman [2375] | $281 | 3616% |
| Pan American Life Insurance Co [1770] | $281 | 3616% |
| National Telephone Cooperative [1700] | $281 | 3616% |
| Healthnet [1495] | $281 | 3616% |
| Coresource [1315] | $281 | 3616% |