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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$7.97
Median
$11.7
Max
$26.63
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield729$7.77$20.43$184.6723.8×
UnitedHealthcare827$1$7.85$53.1853.2×
Aetna823$5.17$21.6$195.337.8×
Cigna819$1$24.85$189.45189.4×
WellCare712$7.77$8.16$11.151.4×
Humana711$7.38$7.77$24.853.4×
First Health310$7.77$25.89$206.1526.5×
CareSource510$7.77$8.08$11.71.5×
Medicaid27$1$15.92$73.2973.3×
Health Net15$7.77$23.28$210.4927.1×
dodge cty op rate24$6.9$7.17$7.441.1×
Ambetter34$10.88$11.85$12.821.2×
beech street op rate24$25.89$26.9$27.91.1×
phcs op rate24$26.47$27.5$28.521.1×
TRICARE33$6.72$7.77$314.6×
Oscar Health23$10.1$12.43$12.431.2×
secure health op rate23$11.34$14.39$15.51.4×
peach state13$8$9.32$10.931.4×
Medicare Advantage12$7.77$7.77$7.771.0×
alliant health plan22$49.7$50.21$50.721.0×
alliant op rate22$13.6$13.6$13.61.0×
amerigroup community care22$4$6.99$9.972.5×
amerigroup op rate22$11.37$11.37$11.371.0×
banner health12$7.77$7.87$7.961.0×
blue mcr replacement12$7.77$7.77$7.771.0×
devoted health22$8$8.12$8.241.0×
facility billing - op12$7.77$7.77$7.771.0×
healthspring mcr replacement12$7.85$7.89$7.931.0×
occunet12$14.37$15.93$17.481.2×
riverwood behavioral health12$7.77$8.74$9.711.2×
smarthealth12$10.88$10.88$10.881.0×
sonder health plan12$8.16$8.16$8.161.0×
three rivers11$7.77$7.77$7.771.0×
corvel11$7.77$7.77$7.771.0×
imperial insurance11$8.16$8.16$8.161.0×
clear spring health plan11$7.77$7.77$7.771.0×
Medicare11$7.77$7.77$7.771.0×
acchs11$7.96$7.96$7.961.0×
mercy care11$8.36$8.36$8.361.0×
Multiplan11$7.77$7.77$7.771.0×
naphcare11$12.04$12.04$12.041.0×
novanet11$7.77$7.77$7.771.0×
arizona complete health11$7.96$7.96$7.961.0×
centurion11$11.66$11.66$11.661.0×
care 1st11$7.96$7.96$7.961.0×
peach state health plan op rate11$11.48$11.48$11.481.0×
peach state hp op rate11$11.48$11.48$11.481.0×
bridgeway health solutions11$7.77$7.77$7.771.0×
prime health services11$7.77$7.77$7.771.0×
provider select11$7.77$7.77$7.771.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA22$217$161.02$7.77$8.24$210.49
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA28$152.25$7$5.17$8$37
ST. MARYS SACRED HEART HOSPITALLAVONIAGA13$193$77.2$7.77$7.97$29.32
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$71$35.5$9.87$26.63$60.35
DODGE COUNTY HOSPITALEASTMANGA5$137.37$1$24.41$123.63
UNION GENERAL HOSPITALBLAIRSVILLEGA9$72.45$36.23$4$21.58$61.58
HOUSTON MEDICAL CENTERWARNER ROBINSGA17$17.48$6.7$11.7$31
PERRY HOSPITALPERRYGA17$17.48$6.7$11.34$28.52
SOUTHWELL MEDICALADELGA0$224$112

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.