Blood test, complete blood count (CBC)
Facility: Kenmore Mercy Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $7
- Cash Discount Price: $20
- vs. Medicare Baseline: 0.90x 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.
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 |
|---|---|---|
| Excellus Rochester McD [350117] | $3 | 39% |
| Medicaid / KanCare | $3 - $8 | 39% |
| Univera Healthcare Essential [100170] | $3 - $7 | 39% |
| Molina Essential [100167] | $3 - $7 | 39% |
| Tuscarora Nation [550120] | $3 | 39% |
| Beacon Essential [350122] | $3 | 39% |
| Independent Health Essential [100166] | $3 - $7 | 39% |
| Crime Victims [100176] | $3 | 39% |
| VA Veterans Affairs [700001] | $3 - $8 | 39% |
| UnitedHealthcare | $3 - $8 | 39% |
| Vna Option Mltc [350110] | $3 | 39% |
| Blue Cross Blue Shield | $4 - $15 | 51% |
| Medicare (plans) | $6 - $8 | 77% |
| Independent Health [100165] | $6 - $8 | 77% |
| Iha First Choice [800001] | $6 - $7 | 77% |
| Univera Healthcare [100169] | $7 - $12 | 90% |
| Fidelis Essential [100163] | $7 - $9 | 90% |
| Wellcare [450129] | $8 - $9 | 103% |
| Humana | $8 | 103% |
| Fallon Health [450115] | $8 | 103% |
| Catholic Health Life Pace [400005] | $8 | 103% |
| Seneca Nation [450119] | $8 | 103% |
| Cigna | $8 | 103% |
| Fidelis Dual Advantage [450120] | $8 | 103% |
| Tricare | $8 | 103% |
| Aetna | $8 | 103% |
| Wellcare Fidelis Dual [450451] | $8 | 103% |
| Covid19 Hrsa [45013] | $8 | 103% |
| Champ VA [700002] | $8 | 103% |
| Federal Workers Compensation [500100] | $8 - $12 | 103% |
| Hospice [550001] | $8 | 103% |
| Fidelis Exchange [100164] | $9 - $12 | 116% |
| No Fault [114001] | $12 | 154% |
| Amerigroup [350102] | $15 | 193% |