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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$5.91
Median
$8.55
Max
$396.5
Range multiplier
67.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2065$4.04$7.77$51.7512.8×
Medicaid1364$4.06$4.38$27567.7×
Aetna2157$4.06$21.06$73.4418.1×
Medicare1148$7.58$7.58$12.121.6×
Blue Cross Blue Shield1434$7.77$15.27$65.48.4×
Humana1932$7.58$7.89$8.551.1×
priority health op rate1020$10$28.83$43.514.4×
smarthealth817$5.83$10.88$10.881.9×
First Health716$8.08$39.09$73.199.1×
Ambetter816$12.59$12.82$12.821.0×
Cigna1016$8.83$29.32$33.933.8×
Medicare Advantage916$7.77$7.77$7.861.0×
WellCare714$7.77$7.77$7.771.0×
healthspring mcr replacement714$7.85$7.89$7.931.0×
occunet714$14.37$15.93$17.481.2×
blue mcr replacement714$7.77$7.77$7.771.0×
priority health1014$4.06$40.7$1,081266.3×
Oscar Health714$12.43$12.43$12.431.0×
facility billing - op714$7.77$7.77$7.771.0×
Molina113$7.77$300$61078.5×
TRICARE1011$6.85$7.61$30.24.4×
hap preferred op rate410$10.08$26.63$37.373.7×
cofinity - auto op rate49$12.16$39.05$48.814.0×
mclaren health op rate49$6.22$15.86$30.434.9×
hap - hmo op rate59$12.72$23.65$31.712.5×
meridian health plan18$7.77$344.5$65984.8×
workers compensation88$16.45$26.79$49.83.0×
safe response program88$50$50$501.0×
mi amish medical board77$7.58$7.58$7.581.0×
cofinity auto77$14.4$14.4$14.41.0×
hap hmo op rate26$9.55$21.71$29.143.1×
hap ahl op rate26$9.65$22.85$29.463.1×
cofinity - ppom op rate35$33.76$42.19$43.781.3×
hcap op rate35$14.25$30.72$43.53.1×
Multiplan25$13.6$34.78$50.43.7×
cofinity group 15892 & 1589355$35.26$40.9$50.741.4×
southwest michigan behavioral health15$1,081$1,081$1,0811.0×
cofinity op rate24$14.68$32.97$51.753.5×
harbor health plan14$4.06$4.47$7.771.9×
health plus hmo op rate24$9.65$25.28$29.963.1×
mclaren health advantage op rate24$6.17$19.58$22.883.7×
hap/ahl op rate13$25.38$26.37$31.711.2×
total health care priority health13$4.06$7.5$7.771.9×
northern michigan regional entity13$1,081.5$1,081.5$1,1561.1×
theramatrix physical therapy op rate13$19$43.3$583.1×
com priority health op rate13$13.81$25.34$42.643.1×
imagine health13$11.27$11.27$11.271.0×
com php op rate13$9.37$17.2$28.943.1×
com cofinity auto op rate13$16.74$30.71$51.673.1×
cofinity wc op rate13$33.76$35.08$42.191.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TAWAS ST. JOSEPH HOSPITALTAWASMI11$304$100.32$5.83$8.55$32.69
BAY REGIONAL MEDICAL CENTERBAY CITYMI22$85.2$42.6$3.94$8.34$69.57
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$193$77.2$7.77$7.97$29.32
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$193$77.2$7.77$7.97$29.32
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$193$77.2$7.77$7.97$29.32
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$193$77.2$7.77$7.97$29.32
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$193$77.2$7.77$7.97$29.32
ASCENSION ALLEGAN HOSPITALALLEGANMI13$193$77.2$7.77$7.97$29.32
ASCENSION STANDISH HOSPITALSTANDISHMI13$193$77.2$7.77$7.97$29.32
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$150$7$4.06$7.77$40
MCLAREN NORTHERN MICHIGANPETOSKEYMI17$86$43$4.25$7.68$52.12
ASCENSION ST JOHN HOSPITALDETROITMI3$122.5$45.33$8.08$51.91$61.25
MCLAREN THUMB REGIONBAD AXEMI7$85$42.5$5.73$5.91$73.44
HEALTHSOURCE SAGINAW INC.SAGINAWMI8$7.77$396.5$1,156
MCLAREN FLINTFLINTMI23$86.7$44.8$4.25$28.81$275
MCLAREN BAY SPECIAL CAREBAY CITYMI11$26.6$3.94$26.04$43.78
MCLAREN OAKLANDPONTIACMI14$21.1$4.74$23.94$40.56
KARMANOS CANCER HOSPITALDETROITMI15$21.8$4.04$22.17$32.98
MCLAREN LAPEER REGIONLAPEERMI20$86$43$4.25$16.54$65.4
MCLAREN GREATER LANSINGLANSING MI 489100MI20$86$43$4.25$15.13$56.8
MCLAREN MACOMBMT. CLEMENSMI20$34.05$4.62$14.88$56.7
MCLAREN CENTRAL MICHIGANMT PLEASANTMI19$86.4$43.2$4.25$14.4$64.8
MCLAREN PORT HURONPORT HURONMI29$52.6$30.15$4.25$14.33$58
MCKENZIE HEALTH SYSTEMSANDUSYMI0$71$56.8
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$84$58.8
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$146$116.8
MH - MERCY CAMPUSMUSKEGONMI0$97.9$46.99
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$185$129.5

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.