Blood test, complete blood count (CBC)
Facility: Ohio Valley Surgical Hospital
Billing Code: 85025 (CPT)
- CPT Billing Code: 85025
- Insurance Median: $66
- Cash Discount Price: $40
- vs. Medicare Baseline: 8.49x 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 849% of the Medicare baseline (a markup of 749%). 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 | $9 - $42,920 | 116% |
| Meritain Heatlh | $11 - $52,331 | 142% |
| Blue Cross Blue Shield | $11 - $65 | 142% |
| Pacific Source | $11 - $52,331 | 142% |
| Aetna | $11 - $52,331 | 142% |
| Nippon Life | $11 - $52,331 | 142% |
| Genworth | $11 - $52,331 | 142% |
| Meritain | $11 - $52,331 | 142% |
| Personify Health | $11 - $52,331 | 142% |
| Mhbp | $11 - $52,331 | 142% |
| Geha | $11 - $52,331 | 142% |
| Ngs Coresource | $11 - $52,331 | 142% |
| Mail Handlers | $11 - $52,331 | 142% |
| Mmoh | $30 - $42 | 386% |
| Mmo Cin. HMO | $30 - $42 | 386% |
| Mmoh (Supermed) | $30 - $31 | 386% |
| Molina | $33 | 425% |
| Molina Marketplace | $33 | 425% |
| Self Pay Imaging | $33 | 425% |
| Medicare (plans) | $33 - $66 | 425% |
| Molina McR | $33 | 425% |
| Medben | $59 | 759% |
| Preferred Health | $59 | 759% |
| Luminare Health | $59 | 759% |
| Ohio Health | $59 | 759% |
| Aarp Supplemental | $66 | 849% |
| American Republic | $66 | 849% |
| American Retirement | $66 | 849% |
| Bankers Life and Casualty | $66 | 849% |
| Wellcare By Allwell | $66 | 849% |
| Patient No Pay | $66 | 849% |
| Cigna | $66 - $46,056 | 849% |
| Everest | $66 | 849% |
| Prosperity Supplement | $66 | 849% |
| Aultcare Primetime Health Plan | $66 | 849% |
| Communicare Advantage | $66 | 849% |
| Bankers Fidelity | $66 | 849% |
| Aarp | $66 | 849% |
| Wraparound Pl Supp | $66 | 849% |
| Champus | $66 | 849% |
| Gateway Health Plan | $66 | 849% |
| Central States | $66 | 849% |
| Humana | $29,849 | 384157% |
| Employer Direct | $31,053 | 399653% |
| Devoted Health | $34,327 | 441789% |
| Healthgram | $46,056 | 592741% |
| Unified Group | $46,056 | 592741% |
| Nalc | $46,056 | 592741% |
| Sbma | $46,056 | 592741% |
| Samba | $46,056 | 592741% |