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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in PA

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Hospitals
59
Min
$8.16
Median
$40.16
Max
$176.62
Range multiplier
21.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna28198$2.80$43.17$249.9089.3×
Blue Cross Blue Shield28195$5.05$16.95$227.1745.0×
UnitedHealthcare28114$4.66$10.68$360.2277.3×
upmc health plan25101$6.48$8.05$69.3210.7×
Cigna28100$7.77$49.73$227.1729.2×
Multiplan1252$8.48$124.02$364.5643.0×
pa health & wellness2145$8.39$10.23$2,315.52276.0×
amerihealth caritas2244$6.00$8.39$2,208.32368.1×
intergroup1544$52.00$127.20$3,704.0071.2×
geisinger2141$6.60$8.34$169.4525.7×
First Health1436$48.84$105.66$295.316.0×
private health care systems1428$8.93$119.20$364.5640.8×
Humana1426$7.77$68.00$364.5646.9×
upmc work partners2121$7.68$7.68$7.681.0×
keystone first513$7.38$12.64$16.742.3×
Medicaid313$6.22$10.74$74.9612.1×
america's choice512$127.20$127.20$143.101.1×
wirerope works512$80.06$88.40$88.401.1×
preferred healthcare system612$66.40$74.50$261.303.9×
Medicare211$5.44$7.77$11.172.1×
health partners plans (jefferson health plan)1111$6.00$6.00$9.051.5×
three rivers provider network48$8.22$75.66$143.1017.4×
selectcare48$74.70$104.00$321.604.3×
qualcare28$39.06$308.15$384.409.8×
pennsylvania health and wellness36$8.55$10.97$13.391.6×
Medicare Advantage26$8.16$8.35$8.941.1×
health coalition partners46$56.00$90.99$321.605.7×
ibc26$6.16$16.08$32.595.3×
naphcare45$11.65$12.43$14.761.3×
gateway health plan34$7.20$8.74$9.711.3×
cbhnp44$6.00$6.00$6.001.0×
innovage44$7.77$7.93$9.401.2×
health payors organization24$99.90$220.80$341.703.4×
national provider network24$46.64$68.83$91.022.0×
fidelis23$7.77$301.50$301.5038.8×
elder health33$9.32$9.32$9.321.0×
devoted health participation23$7.77$8.16$8.161.1×
Oscar Health33$11.65$11.65$11.651.0×
occunet33$7.77$11.65$11.651.5×
prime health services33$12.37$12.37$12.371.0×
clover health33$8.24$8.24$8.241.0×
jup health partners chip13$6.22$6.90$9.231.5×
univera13$53.55$117.81$157.082.9×
health partners plans33$7.93$7.93$7.931.0×
health plan of upper ohio valley13$7.77$7.77$181.1023.3×
Ambetter23$11.27$11.27$11.271.0×
point of comfort refugee resettlement23$7.77$7.77$7.771.0×
allwell pa health_wellness ma23$8.55$8.55$8.551.0×
Anthem BCBS13$27.28$31.12$36.481.3×
wtc health program22$9.71$10.04$10.361.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Muncy Valley HospitalMuncyPA15$159.00$95.40$6.60$81.73$2,315.52
Curahealth Heritage ValleyBeaverPA9$44.00$11.88$6.00$8.65$36.37
Upmc Magee-Womens HospitalPittsburghPA13$149.00$89.40$6.00$8.65$119.20
The Childrens Home Of PittsburghPittsburghPA13$149.00$89.40$6.00$8.65$119.20
Upmc Childrens Hospital Of PghPittsburghPA13$149.00$89.40$6.00$8.65$119.20
Altoona Regional Health SystemAltoonaPA13$149.00$89.40$6.00$8.65$119.20
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$81.00$8.94$5.44$8.47$54.39
Upmc JamesonNew CastlePA13$53.00$31.80$6.60$8.39$49.45
Aria HealthPhiladelphiaPA36$81.00$8.94$4.66$8.16$31.66
Lock Haven HospitalLock HavenPA15$159.00$95.40$6.60$68.72$143.10
Williamsport Hospital & Medical CtrWilliamsportPA15$159.00$95.40$6.60$68.72$143.10
Divine Providence HospitalWilliamsportPA15$159.00$95.40$6.60$68.72$143.10
Upmc ShadysidePittsburghPA20$402.00$241.20$6.00$67.50$341.70
Upmc East HospitalMonroevillePA13$193.00$115.80$6.00$65.62$154.40
Upmc Northwest HospitalSenecaPA14$149.00$89.40$6.60$59.60$3,704.00
Upmc HamotEriePA16$357.00$214.20$6.00$49.47$285.60
Upmc Bedford Memorial HospitalEverettPA17$83.00$49.80$2.80$48.38$74.70
Upmc St MargaretPittsburghPA12$155.00$93.00$6.60$43.64$131.75
Upmc Mercy HospitalPittsburghPA17$111.00$66.60$6.48$40.52$99.90
Upmc MckeesportMckeesportPA14$105.00$63.00$6.60$40.16$89.25
Upmc Horizon HospitalGreenvillePA17$80.00$48.00$6.00$31.12$68.00
Charles Cole Memorial HospitalCoudersportPA14$71.00$42.60$5.05$28.40$56.80
Upmc PassavantPittsburghPA14$392.00$235.20$6.60$26.33$364.56
The Childrens Hospital Of PhiladelpPhiladelphiaPA18$454.33$454.33$8.10$176.62$408.90
American Oncologic HospialPhiladelphiaPA16$620.00$7.77$15.87$384.40
Temple University HospitalPhiladelphiaPA20$620.00$6.00$15.81$210.80
Jeanes HospitalPhiladelphiaPA18$620.00$7.77$13.26$210.80
WellsboroWellsboroPA14$159.00$115.20$6.00$105.64$151.05
Lifecare Hospitals Of Chester CountyWest ChesterPA0$144.00$144.00
Penn State Hershey Rehabilitation LlHummelstownPA0$51.00$13.27
St Christophers Hospital For ChildrPhiladelphiaPA0$244.00$122.00
Pennsylvania Psychiatric InstituteHarrisburgPA0$51.00$8.75
Holy Spirit HospitalCamp HillPA0$51.00$12.18
Chestnut Hill HospitalPhiladelphiaPA0$141.00$35.25
Uniontown HospitalUniontownPA0$104.00$52.00
Reading Hospital And Medical CenterReadingPA0$141.00$98.70
Clarion HospitalClarionPA0$48.00$26.88
St. Joseph Medical CenterReadingPA0$51.00$13.27
Hospital Of The Univ Of PennaPhiladelphiaPA0$273.00$273.00
Windber Hospital Inc.WindberPA0$45.00$38.25
Pottstown Memorial Medical CenterPottstownPA0$145.00$36.25
Wayne Memorial HospitalHonesdalePA0$81.00$56.70
Phoenixville HospitalPhoenixvillePA0$141.00$35.25
Miners HospitalHastingsPA0$75.00$30.00
Westmoreland Regional HospitalGreensburgPA0$40.00$24.00
Armstrong County MemorialKittanningPA0$85.00$25.50
Butler Memorial HospitalButlerPA0$75.00$52.50
The Chester County HospitalWest ChesterPA0$144.00$144.00
Doylestown HospitalDoylestownPA0$154.00$154.00
Frick HospitalMount PleasantPA0$40.00$24.00
Latrobe Area HospitalLatrobePA0$40.00$24.00
Presbyterian Medical CenterPhiladelphiaPA0$281.00$281.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$273.00$273.00
Milton S. Hershey Medical CenterHersheyPA0$51.00$16.90
Physicians Care Surgical HospitalRoyersfordPA0$133.00
Wills Eye HospitalPhiladelphiaPA0$25.00
Hampden Medical CenterEnolaPA0$51.00$16.05
Meyersdale Community HospitalMeyersdalePA0$75.00$30.00
Miners HospitalHastingsPA0$75.00$30.00

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.