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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in KY

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Hospitals
15
Min
$7.77
Median
$16.58
Max
$57.84
Range multiplier
7.4×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1357$6.61$52.02$158.2523.9×
Aetna1454$7.77$35.62$162.9021.0×
Humana1434$7.15$7.77$115.2816.1×
UnitedHealthcare1333$7.77$26.03$133.9417.2×
WellCare1429$7.77$7.77$43.445.6×
optum ccn region 21212$7.77$7.77$29.063.7×
caresoure kentucky1112$62.40$82.33$108.601.7×
umr1112$7.77$89.93$133.9417.2×
Molina1212$7.77$7.77$7.771.0×
optum ccn region 11212$7.77$7.77$29.063.7×
medcost16$28.69$46.71$87.643.1×
Cigna26$7.77$56.52$58.037.5×
Multiplan25$18.70$63.75$117.906.3×
Blue Cross Blue Shield14$19.13$27.57$30.841.6×
First Health13$18.70$63.75$63.753.4×
commonwealth health alliance13$19.80$67.50$67.503.4×
center care13$16.58$56.52$56.523.4×
oscar12$41.92$49.78$57.641.4×
national provider network12$117.90$117.90$117.901.0×
private healthcare systems12$107.42$107.42$107.421.0×
beechstreet12$115.28$115.28$115.281.0×
the health plan12$6.99$7.38$7.771.1×
christian county health dept-cchd12$7.77$7.77$7.771.0×
amerihealth12$14.13$16.94$19.751.4×
directnet12$77.42$77.42$77.421.0×
healthgram12$104.80$104.80$104.801.0×
healthgram lexington home brands12$94.32$94.32$94.321.0×
beacon health12$7.77$7.77$7.771.0×
alliance11$14.42$14.42$14.421.0×
amerigroup11$7.77$7.77$7.771.0×
CareSource11$10.49$10.49$10.491.0×
carolina complete11$14.13$14.13$14.131.0×
healthy blue11$14.13$14.13$14.131.0×
Ambetter11$20.04$20.04$20.041.0×
partners11$14.13$14.13$14.131.0×
trillium11$14.56$14.56$14.561.0×
alliance coal11$7.77$7.77$7.771.0×
va community care network11$7.77$7.77$7.771.0×
vaya11$14.28$14.28$14.281.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Whitesburg ArhWhitesburgKY10$124.00$74.40$6.61$7.77$115.32
Highlands Regional Medical CenterPrestonsburgKY10$120.00$72.00$6.61$7.77$79.46
Middlesboro ArhMiddlesboroKY10$119.00$71.40$6.61$7.77$110.67
Harlan ArhHarlanKY10$120.00$72.00$6.61$7.77$111.60
Tug Valley ArhSouth WilliamsonKY11$126.00$75.60$6.61$7.77$113.40
Paintsville Arh HospitalPaintsvilleKY9$120.00$72.00$6.61$7.77$104.92
Baptist Health LexingtonLexingtonKY23$131.00$65.50$14.13$57.84$121.04
Hazard ArhHazardKY10$181.00$108.60$6.61$42.03$162.90
Morgan Co. ArhWest LibertyKY10$137.00$82.20$7.77$29.06$120.56
Our Lady Of The WayMartinKY8$137.00$82.20$7.77$27.40$120.56
Mcdowell ArhMcdowellKY10$137.00$82.20$7.77$23.29$120.56
Mary Breckinridge HospitalHydenKY10$137.00$82.20$7.77$20.76$120.56
Jennie Stuart Medical CenterHopkinsvilleKY16$75.00$23.25$7.15$16.58$71.44
Barbourville Arh HospitalBarbourvilleKY10$96.00$57.60$7.77$16.48$84.48
Spring View HospitalLebanonKY0$590.25$236.10

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.