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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in MA

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Hospitals
14
Min
$8.20
Median
$13.22
Max
$70.27
Range multiplier
8.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare741$3.65$14.28$118.2432.4×
Blue Cross Blue Shield738$7.77$24.94$175.0022.5×
Medicaid438$6.85$6.85$57.758.4×
institution [10406]435$6.85$153.00$175.0025.5×
Aetna730$7.77$75.25$564.2072.6×
Cigna715$5.36$16.53$97.1718.1×
harvard pilgrim [10701]412$17.95$28.48$34.741.9×
grants [20507]49$8.01$114.00$175.0021.8×
correctional care [11003]38$7.77$13.02$16.532.1×
First Health57$42.00$114.75$131.253.1×
Multiplan47$85.50$131.25$159.301.9×
hne [11108]46$36.44$69.00$78.932.2×
connecticare [11105]46$56.00$153.00$175.003.1×
tufts [11201]46$17.01$21.67$39.802.3×
fallon connectorcare [10503]46$45.98$72.52$82.951.8×
fallon mcaid carelon hlth [29]46$56.00$153.00$175.003.1×
medcost16$47.44$71.95$113.462.4×
evernorth behavioral health [27]35$44.80$122.40$140.003.1×
masshealth mcd mbhp [38]35$56.00$153.00$175.003.1×
senior whole health [10110]44$8.31$8.31$8.311.0×
masshealth [20302]44$6.85$6.85$6.851.0×
wellsense cc carelon hlth [20]24$153.00$164.00$175.001.1×
optum transplant [20601]24$153.00$164.00$175.001.1×
CHAMPVA44$8.42$9.36$9.361.1×
wellpoint [11112]44$20.39$20.39$20.391.0×
mgb mcr [10124]44$7.77$8.16$8.161.1×
geisinger14$7.20$100.88$203.1728.2×
automobile [10401]24$153.00$164.00$175.001.1×
amerihealth24$14.13$21.27$29.132.1×
Humana34$7.77$86.31$168.1521.6×
workers compensation [20501]44$10.86$10.86$10.861.0×
devon health14$579.18$593.39$607.601.0×
wellfleet [11106]24$137.70$147.60$157.501.1×
tufts connectorcare [10507]44$13.22$13.22$13.221.0×
tufts us family [11203]44$7.77$7.77$7.771.0×
hsno/free care [10801]44$294.30$672.16$680.812.3×
upmc health plan13$8.16$8.40$12.001.5×
commonwealth care mcr [10115]33$8.16$8.16$8.161.0×
fallon mcr [10105]33$8.16$8.16$8.161.0×
keystone first13$7.93$182.80$191.7724.2×
Medicare33$7.77$7.77$7.771.0×
pennsylvania health and wellness13$7.50$7.77$14.371.9×
tufts dual [10111]33$7.77$7.77$7.771.0×
wellpoint13$7.77$57.00$83.2210.7×
health partners plans12$7.50$7.83$8.161.1×
fidelis care12$7.46$7.62$7.771.0×
fallon mcr supp [20202]22$8.16$8.16$8.161.0×
oscar12$53.10$61.95$70.801.3×
private healthcare systems12$145.14$145.14$145.141.0×
qualcare inc12$112.12$115.85$119.571.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chestnut Hill Benevolent AssociationChestnut HillMA19$620.00$5.36$9.32$607.60
Healthalliance-ClintonLeominsterMA33$114.00$114.00$6.85$8.56$294.30
Beth Israel Deaconess - PlymouthPlymouthMA13$146.00$8.55$3.65$8.20$136.26
High Point HospitalMiddleboroughMA19$177.00$88.50$14.13$70.27$168.15
Umass Memorial Medical CenterWorcesterMA38$175.00$175.00$6.85$64.17$672.16
Marlborough HospitalMarlboroughMA38$175.00$175.00$6.85$64.17$672.16
Harrington Memorial HospitalSouthbridgeMA32$56.00$56.00$6.85$13.22$680.81
Berkshire Medical CenterPittsfieldMA0$74.93$71.18
Fairview HospitalGreat BarringtonMA0$74.93$71.18
North Shore Medical CenterSalemMA0$612.58$612.58
Hebrew Rehabilitation CenterRoslindaleMA0$23.40$23.40
Whittier Hospital-BradfordBradfordMA0$27.95$27.95
Whittier Hospital-WestboroughWestboroughMA0$28.00$28.00
North Adams Regional HospitalNorth AdamsMA0$74.93$71.18

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.