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Complete blood count with automated differential

CPT 85025 · negotiated-rate distribution across hospitals in TX

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Hospitals
66
Min
$6.52
Median
$30.36
Max
$269.78
Range multiplier
41.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield47258$4.00$30.89$8,427.002106.8×
UnitedHealthcare41125$4.66$12.10$248.0453.2×
Aetna43114$5.13$69.00$295.6157.6×
Medicaid2683$1.00$6.53$552.08552.1×
Humana3568$6.91$28.10$337.0248.8×
Cigna3266$6.66$35.00$445.9967.0×
Medicare1139$7.15$8.00$9.321.3×
Multiplan2234$16.10$163.20$287.7617.9×
Anthem BCBS326$3.68$3.68$41.0011.1×
First Health1321$19.00$146.25$238.5012.6×
healthsmart719$15.00$200.60$283.0218.9×
commercial | galaxy | all plans915$20.70$191.25$298.8014.4×
healthcare highways [2210]515$49.50$66.50$200.854.1×
Ambetter1313$7.77$11.27$16.712.2×
prime health services611$7.00$69.00$305.7543.7×
wellpoint611$8.47$10.49$53.006.3×
commercial | phcs | all plans511$15.53$207.23$224.1014.4×
commercial | entrust | all plans1111$15.54$18.34$20.441.3×
web tpa [2115]510$49.50$97.15$412.008.3×
Molina710$6.53$7.35$11.271.7×
superior health plan49$8.16$53.00$79.009.7×
web tpa48$143.10$143.10$143.101.0×
assurant health48$209.88$209.88$209.881.0×
txp optum health (transplant)18$95.40$126.44$177.001.9×
scott & white58$12.04$69.92$167.5613.9×
wellmed77$7.77$7.77$65.008.4×
commercial | community health choice | exchange77$8.16$11.66$11.661.4×
velocity provider ppo network46$9.32$101.78$269.7828.9×
healthscope benefits [2290]56$44.66$59.38$92.752.1×
commercial | nxhealth | all plans66$25.25$25.25$25.251.0×
smarthealth ppo/hdhp 2016100126$3.97$9.26$13.223.3×
tmhp [50160]16$6.53$6.53$6.531.0×
TRICARE16$8.41$8.41$8.411.0×
smarthealth ppo26$3.97$9.26$13.223.3×
wellpoint amerigroup [50170]15$6.53$6.53$6.531.0×
commercial | superior health plan | all plans55$11.66$11.66$11.661.0×
commercial | nppn | all plans55$180.00$180.00$180.001.0×
health partners open network25$12.08$15.27$20.981.7×
commercial | harris health | ers55$11.66$11.66$11.661.0×
commercial | kelseycare | exchange55$10.49$10.49$10.491.0×
provider network of america45$101.78$101.78$269.782.7×
commercial | usa health network | all plans55$191.25$191.25$191.251.0×
quik trip45$101.78$101.78$269.782.7×
galaxy health network35$68.00$80.00$143.552.1×
commercial | ellwood | all plans55$23.31$23.31$23.311.0×
commercial | renaissance | all plans55$5.59$5.59$5.591.0×
phcs [1780]45$93.80$132.66$237.442.5×
equifax healthcare14$153.00$176.80$200.601.3×
insurance services of lubbock44$12.67$12.67$12.671.0×
kempton group44$15.54$15.54$15.541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baptist Saint Anthonys HospitalAmarilloTX81$134.00$13.40$41.54$93.80$113.90
Pam Squared At Corpus ChristiCorpus ChrstiTX26$135.70$135.70$5.44$9.71$115.35
Grimes St. Joseph Health CenterNavasotaTX9$192.00$67.20$6.53$9.64$163.20
Methodist Hospital For SurgeryAddisonTX28$313.00$187.80$5.05$8.31$15.54
Baylor S&W All Saints Medical CenterFort WorthTX14$7.38$8.16$38.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$93.00$56.00$6.00$73.00$89.00
Baylor County Hospital DistrictSeymourTX11$60.00$42.00$6.99$70.00$100.00
Mccamey County Hospital DistrictMccameyTX14$80.00$80.00$45.00$68.00$80.00
Heritage Park Surgical HospitalShermanTX2$158.00$94.80$9.71$61.52$91.82
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$209.00$125.40$43.42$61.52$91.82
Driscoll Childrens HospitalCorpus ChristiTX28$248.40$49.68$6.53$6.53$1,000.00
Ascension Seton Shoal CreekAustinTX10$284.00$170.40$3.68$6.52$17.72
Ascension Seton BastropBastropTX10$284.00$170.40$3.68$6.52$17.72
Muleshoe Area Medical CenterMuleshoeTX4$71.00$43.00$28.00$57.00$71.00
Lifecare Spec Hosp Of North TexasDallasTX9$198.00$19.80$49.50$49.50$132.66
Hansford County Hospital DistrictSpearmanTX5$53.00$40.00$37.00$48.00$56.00
Crosbyton Clinic HospitalCrosbytonTX4$68.00$68.00$13.00$47.00$54.00
Glen Rose Medical CenterGlen RoseTX8$51.00$51.00$23.00$36.00$48.00
Shannon Medical CenterSan AngeloTX22$318.00$159.00$7.77$35.16$283.02
Big Spring State HospitalBig SpringsTX22$318.00$159.00$7.77$35.16$283.02
San Angelo Community Medical CenterSan AngeloTX22$318.00$159.00$7.77$35.16$283.02
River Crest HospitalSan AngeloTX22$318.00$159.00$7.77$35.16$283.02
Crane County Hospital DistrictCraneTX2$80.00$56.00$20.00$35.00$72.00
Crescent Medical Center LancasterLancasterTX5$106.00$69.00$2.00$34.00$138.00
Falls Community Hospital And ClinicMarlinTX6$186.30$149.04$7.77$31.08$149.04
Golden Plains Community HospitalBorgerTX6$132.00$92.40$9.32$30.36$89.76
Limestone Medical CenterGroesbeckTX8$101.85$61.11$9.59$30.13$81.48
Eastland Memorial HospitalEastlandTX3$77.00$39.00$7.00$29.50$69.00
North Texas Medical CenterGainsvilleTX9$62.00$16.00$8.00$29.00$57.00
Acuity Hospital Of South TexasSan AntonioTX11$359.70$359.70$5.13$269.78$323.73
Chi St Lukes Health Memorial LufkinLufkinTX10$332.00$116.20$6.53$23.00$298.80
Ut Health East Texas Specialty HospiTylerTX14$371.00$37.10$92.75$207.02$237.44
Seton Medical Center Harker HeightsHarker HeightsTX15$515.00$51.50$92.70$200.85$552.08
Clay County Memorial HospitalHenriettaTX5$99.00$69.00$15.00$20.00$32.00
St Lukes Health Memorial San AugustSan AugustineTX11$332.00$116.20$6.53$19.55$298.80
Wilson N Jones Regional Medical CtrShermanTX12$41.96$33.57$4.66$18.46$41.96
Chi St Lukes Health Mem LivingstonLivingstonTX11$332.00$116.20$6.53$17.26$298.80
Madison St. Joseph Health CenterMadisonvilleTX12$192.00$67.20$6.53$15.32$172.80
Childrens Medical Center Of PlanoPlanoTX31$236.00$177.00$6.53$135.00$228.92
Burleson St. Joseph Health CenterCaldwellTX11$192.00$67.20$6.53$13.41$172.80
Rice Medical CenterEagle LakeTX19$159.50$111.65$1.00$114.84$159.50
Chi St Lukes Health Baylor Med CtrHoustonTX20$225.00$78.75$5.59$11.66$191.25
St. Lukes The Woodlands HospitalThe WoodlandsTX19$225.00$78.75$5.59$11.66$191.25
St Lukes Hospital At The VintageHoustonTX20$225.00$78.75$5.59$11.66$191.25
St. Lukes Lakeside HospitalThe WoodlandsTX19$225.00$78.75$5.59$11.66$191.25
St. Lukes Sugar Land HospitalSugar LandTX18$225.00$78.75$5.59$11.66$191.25
St. Lukes Patients Medical CenterPasadenaTX12$215.00$75.25$6.20$11.31$182.75
St. Joseph Regional Health CenterBryanTX10$192.00$67.20$6.53$11.27$163.20
College Station Medical CenterCollege StationTX10$192.00$67.20$6.53$11.27$163.20
Brazosport Regional Health SystemLake JacksonTX11$152.00$53.20$6.53$11.27$85.12
Texas Rehabilitation Hospital Of KelKellerTX17$266.00$26.60$66.50$109.86$178.22
Baylor Orthopedic And Spine HospitalArlingtonTX2$14.00$8.40$19.34$107.15$8,427.00
Warm Springs Rehab Hosp KyleKyleTX8$135.70$135.70$94.99$105.17$122.13
Corpus Christi Specialty HospitalCorpus ChristiTX8$135.70$135.70$94.99$101.78$122.13
Trinity Regional Hospital SachseSachseTX8$41.96$33.57$4.66$10.10$35.67
St Joseph Medical CenterHoustonTX0$384.36$384.36
Haskell Memorial HospitalHaskellTX0$41.64$41.64
Longview Regional Medical CenterLongviewTX0$337.92$91.24
Laredo Medical CenterLaredoTX0$282.15$98.75
Kingwood Emergency HospitalKingwoodTX0$329.37$164.69
Trustpoint Rehabilitation Hospital OLubbockTX0$73.95
Laredo Specialty HospitalLaredoTX0$73.95
Yoakum County HospitalDenver CityTX0$105.25$105.25
Navarro Regional HospitalCorsicanaTX0$508.00$177.80
The Medical Ctr Of Southeast TexasPort ArthurTX0$491.17$491.17
Nocona General HospitalNoconaTX0$91.00$5.79

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.