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Complete blood count with automated differential
CPT 85025 · negotiated-rate distribution across hospitals in MI
Hospitals
28
Min
$5.91
Median
$8.55
Max
$396.50
Range multiplier
67.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 20 | 65 | $4.04 | $7.77 | $51.75 | 12.8× |
| Medicaid | 13 | 64 | $4.06 | $4.38 | $275.00 | 67.7× |
| Aetna | 21 | 57 | $4.06 | $21.06 | $73.44 | 18.1× |
| Medicare | 11 | 48 | $7.58 | $7.58 | $12.12 | 1.6× |
| Blue Cross Blue Shield | 14 | 34 | $7.77 | $15.27 | $65.40 | 8.4× |
| Humana | 19 | 32 | $7.58 | $7.89 | $8.55 | 1.1× |
| priority health op rate | 10 | 20 | $10.00 | $28.83 | $43.51 | 4.4× |
| smarthealth | 8 | 17 | $5.83 | $10.88 | $10.88 | 1.9× |
| First Health | 7 | 16 | $8.08 | $39.09 | $73.19 | 9.1× |
| Ambetter | 8 | 16 | $12.59 | $12.82 | $12.82 | 1.0× |
| Cigna | 10 | 16 | $8.83 | $29.32 | $33.93 | 3.8× |
| Medicare Advantage | 9 | 16 | $7.77 | $7.77 | $7.86 | 1.0× |
| WellCare | 7 | 14 | $7.77 | $7.77 | $7.77 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $7.85 | $7.89 | $7.93 | 1.0× |
| occunet | 7 | 14 | $14.37 | $15.93 | $17.48 | 1.2× |
| blue mcr replacement | 7 | 14 | $7.77 | $7.77 | $7.77 | 1.0× |
| priority health | 10 | 14 | $4.06 | $40.70 | $1,081.00 | 266.3× |
| Oscar Health | 7 | 14 | $12.43 | $12.43 | $12.43 | 1.0× |
| facility billing - op | 7 | 14 | $7.77 | $7.77 | $7.77 | 1.0× |
| Molina | 1 | 13 | $7.77 | $300.00 | $610.00 | 78.5× |
| TRICARE | 10 | 11 | $6.85 | $7.61 | $30.20 | 4.4× |
| hap preferred op rate | 4 | 10 | $10.08 | $26.63 | $37.37 | 3.7× |
| cofinity - auto op rate | 4 | 9 | $12.16 | $39.05 | $48.81 | 4.0× |
| mclaren health op rate | 4 | 9 | $6.22 | $15.86 | $30.43 | 4.9× |
| hap - hmo op rate | 5 | 9 | $12.72 | $23.65 | $31.71 | 2.5× |
| meridian health plan | 1 | 8 | $7.77 | $344.50 | $659.00 | 84.8× |
| workers compensation | 8 | 8 | $16.45 | $26.79 | $49.80 | 3.0× |
| safe response program | 8 | 8 | $50.00 | $50.00 | $50.00 | 1.0× |
| mi amish medical board | 7 | 7 | $7.58 | $7.58 | $7.58 | 1.0× |
| cofinity auto | 7 | 7 | $14.40 | $14.40 | $14.40 | 1.0× |
| hap hmo op rate | 2 | 6 | $9.55 | $21.71 | $29.14 | 3.1× |
| hap ahl op rate | 2 | 6 | $9.65 | $22.85 | $29.46 | 3.1× |
| cofinity - ppom op rate | 3 | 5 | $33.76 | $42.19 | $43.78 | 1.3× |
| hcap op rate | 3 | 5 | $14.25 | $30.72 | $43.50 | 3.1× |
| Multiplan | 2 | 5 | $13.60 | $34.78 | $50.40 | 3.7× |
| cofinity group 15892 & 15893 | 5 | 5 | $35.26 | $40.90 | $50.74 | 1.4× |
| southwest michigan behavioral health | 1 | 5 | $1,081.00 | $1,081.00 | $1,081.00 | 1.0× |
| cofinity op rate | 2 | 4 | $14.68 | $32.97 | $51.75 | 3.5× |
| harbor health plan | 1 | 4 | $4.06 | $4.47 | $7.77 | 1.9× |
| health plus hmo op rate | 2 | 4 | $9.65 | $25.28 | $29.96 | 3.1× |
| mclaren health advantage op rate | 2 | 4 | $6.17 | $19.58 | $22.88 | 3.7× |
| hap/ahl op rate | 1 | 3 | $25.38 | $26.37 | $31.71 | 1.2× |
| total health care priority health | 1 | 3 | $4.06 | $7.50 | $7.77 | 1.9× |
| northern michigan regional entity | 1 | 3 | $1,081.50 | $1,081.50 | $1,156.00 | 1.1× |
| theramatrix physical therapy op rate | 1 | 3 | $19.00 | $43.30 | $58.00 | 3.1× |
| com priority health op rate | 1 | 3 | $13.81 | $25.34 | $42.64 | 3.1× |
| imagine health | 1 | 3 | $11.27 | $11.27 | $11.27 | 1.0× |
| com php op rate | 1 | 3 | $9.37 | $17.20 | $28.94 | 3.1× |
| com cofinity auto op rate | 1 | 3 | $16.74 | $30.71 | $51.67 | 3.1× |
| cofinity wc op rate | 1 | 3 | $33.76 | $35.08 | $42.19 | 1.2× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Tawas St. Joseph Hospital | Tawas | MI | 11 | $304.00 | $100.32 | $5.83 | $8.55 | $32.69 |
| Bay Regional Medical Center | Bay City | MI | 22 | $85.20 | $42.60 | $3.94 | $8.34 | $69.57 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Ascension Borgess Hospital | Kalamazoo | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Borgess-Pipp Health Center | Plainwell | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Ascension Providence Rochester Hospi | Rochester | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Ascension Allegan Hospital | Allegan | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Ascension Standish Hospital | Standish | MI | 13 | $193.00 | $77.20 | $7.77 | $7.97 | $29.32 |
| Garden City Hospital Osteopathic | Garden City | MI | 20 | $150.00 | $7.00 | $4.06 | $7.77 | $40.00 |
| Mclaren Northern Michigan | Petoskey | MI | 17 | $86.00 | $43.00 | $4.25 | $7.68 | $52.12 |
| Ascension St John Hospital | Detroit | MI | 3 | $122.50 | $45.33 | $8.08 | $51.91 | $61.25 |
| Mclaren Thumb Region | Bad Axe | MI | 7 | $85.00 | $42.50 | $5.73 | $5.91 | $73.44 |
| Healthsource Saginaw Inc. | Saginaw | MI | 8 | — | — | $7.77 | $396.50 | $1,156.00 |
| Mclaren Flint | Flint | MI | 23 | $86.70 | $44.80 | $4.25 | $28.81 | $275.00 |
| Mclaren Bay Special Care | Bay City | MI | 11 | — | $26.60 | $3.94 | $26.04 | $43.78 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $21.10 | $4.74 | $23.94 | $40.56 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $21.80 | $4.04 | $22.17 | $32.98 |
| Mclaren Lapeer Region | Lapeer | MI | 20 | $86.00 | $43.00 | $4.25 | $16.54 | $65.40 |
| Mclaren Greater Lansing | Lansing | MI | 20 | $86.00 | $43.00 | $4.25 | $15.13 | $56.80 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $34.05 | $4.62 | $14.88 | $56.70 |
| Mclaren Central Michigan | Mt Pleasant | MI | 19 | $86.40 | $43.20 | $4.25 | $14.40 | $64.80 |
| Mclaren Port Huron | Port Huron | MI | 29 | $52.60 | $30.15 | $4.25 | $14.33 | $58.00 |
| Mckenzie Health System | Sandusky | MI | 0 | $71.00 | $56.80 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $84.00 | $58.80 | — | — | — |
| Southeast Michigan Surgical Hospital | Warren | MI | 0 | $146.00 | $116.80 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $97.90 | $46.99 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $185.00 | $129.50 | — | — | — |
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.