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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$12.45
Median
$125.13
Max
$125.13
Range multiplier
10.1×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE463$36.12$53.24$88.952.5×
UnitedHealthcare436$7.77$126.42$126.4216.3×
Blue Cross Blue Shield525$34.00$48.92$129.003.8×
govt employees health assn [3081090]424$85.14$126.42$126.421.5×
Cigna424$123.84$127.71$127.711.0×
medica (commercial) 94265 [3081118]424$107.07$126.42$126.421.2×
healthpartners [3081368]523$12.45$12.45$126.4210.2×
Meritain Health416$123.84$127.71$127.711.0×
national telephone cooperative assn 52103 [3081149]416$85.14$126.42$126.421.5×
risk admin svs [3081167]416$29.95$66.58$103.203.4×
Aetna412$116.10$119.33$122.551.1×
tlc advantage llc [3081189]510$9.40$121.26$126.9013.5×
Humana49$8.16$129.00$129.0015.8×
health partners sx009 [3081102]48$12.45$46.22$126.4210.2×
fedmed inc [3081283]48$122.55$125.13$125.131.0×
midlands choice 47080 [3081136]48$123.84$127.71$127.711.0×
employee benefit management 12x44 [3081079]48$109.65$116.10$116.101.1×
pacificsource health plans [3081333]48$109.65$116.10$116.101.1×
preferred one 41147 [3081160]48$123.84$127.71$127.711.0×
coresource 38225 [3081146]48$83.85$116.10$116.101.4×
rocky mountain admin llc 83028 [3081168]48$103.20$116.10$116.101.1×
sanford health plan 91184 [3081174]48$116.10$125.13$125.131.1×
surest [3081369]48$85.14$126.42$126.421.5×
avera health plans 46045 [3081018]48$94.82$125.13$125.131.3×
allied benefit systems inc [3081320]48$123.84$127.71$127.711.0×
key benefit administrators [3081332]48$123.84$127.71$127.711.0×
va ccn optum [3081339]44$7.77$36.12$47.736.1×
group and pension administrators inc [3081098]24$116.10$120.62$125.131.1×
Medicare44$7.77$36.12$47.736.1×
va black hills health care system 12115 [3081206]44$7.77$36.12$47.736.1×
Multiplan24$116.10$120.62$125.131.1×
Health Net33$36.12$36.12$47.731.3×
triwest healthcare alliance [3081322]33$36.12$36.12$47.731.3×
va black hills health care system 12115 [3081207]33$36.12$36.12$47.731.3×
VA Health33$36.12$36.12$47.731.3×
minnesota health care programs 12k16 [3081295]12$39.09$39.09$39.091.0×
healthpartners sx009 [3081102]11$12.45$12.45$12.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Lead-Deadwood HospitDeadwoodSD33$129.00$129.00$12.45$125.13$129.00
Monument Health Sturgis RegionalSturgisSD33$129.00$129.00$12.45$125.13$129.00
Monument Health Custer HospitalCusterSD35$129.00$129.00$12.45$125.13$129.00
Monument Health Spearfish HospitalSpearfishSD4$135.00$135.00$9.40$12.45$126.90
Monument Health Rapid City HospitalRapid CitySD32$129.00$129.00$7.77$103.20$123.84

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.