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Complete blood count without differential

CPT 85027 · negotiated-rate distribution across hospitals in TX

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Hospitals
57
Min
$5.42
Median
$29.00
Max
$268.10
Range multiplier
49.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield40213$5.43$25.62$8,427.001551.9×
UnitedHealthcare35103$3.88$7.57$256.6166.1×
Aetna3688$4.27$37.76$268.1062.8×
Medicaid2481$1.00$5.43$155.44155.4×
Humana3052$5.75$14.75$326.2956.7×
Cigna2647$5.54$26.85$326.2958.9×
Medicare1034$5.95$6.66$7.761.3×
Multiplan2127$11.90$182.70$325.5527.4×
Anthem BCBS325$3.06$3.06$34.0011.1×
First Health1319$31.00$199.50$306.409.9×
healthcare highways [2210]515$34.71$56.55$121.753.5×
healthsmart714$14.00$236.74$325.5523.3×
commercial | galaxy | all plans912$15.30$226.95$234.9015.4×
Ambetter1111$6.47$9.38$13.912.1×
commercial | entrust | all plans1111$12.94$15.27$17.021.3×
web tpa [2115]510$34.71$70.25$201.135.8×
Molina69$5.43$5.43$6.791.3×
wellpoint59$7.05$8.73$10.481.5×
commercial | phcs | all plans58$11.48$176.18$190.4016.6×
prime health services58$8.41$118.75$183.7921.9×
web tpa48$119.70$119.70$119.701.0×
assurant health48$175.56$175.56$175.561.0×
commercial | community health choice | exchange77$6.79$9.70$9.701.4×
superior health plan27$6.79$39.00$66.009.7×
velocity provider ppo network46$7.76$104.78$162.1720.9×
TRICARE16$7.00$7.00$7.001.0×
tmhp [50160]16$5.43$5.43$5.431.0×
commercial | nxhealth | all plans66$21.03$21.03$21.031.0×
smarthealth ppo26$3.97$7.93$11.903.0×
healthscope benefits [2290]56$26.10$40.11$121.754.7×
smarthealth ppo/hdhp 2016100126$3.97$7.93$11.903.0×
wellmed66$6.47$6.47$28.984.5×
scott & white56$10.03$10.03$271.9327.1×
wellpoint amerigroup [50170]15$5.43$5.43$5.431.0×
provider network of america45$104.78$104.78$162.171.5×
phcs [1780]45$62.30$121.94$326.295.2×
health partners open network25$10.06$12.72$20.982.1×
commercial | ellwood | all plans55$19.41$19.41$19.411.0×
commercial | usa health network | all plans55$226.95$226.95$226.951.0×
commercial | renaissance | all plans55$4.66$4.66$4.661.0×
commercial | kelseycare | exchange55$8.73$8.73$8.731.0×
commercial | nppn | all plans55$213.60$213.60$213.601.0×
commercial | superior health plan | all plans55$9.70$9.70$9.701.0×
commercial | harris health | ers55$9.70$9.70$9.701.0×
quik trip45$104.78$104.78$162.171.5×
mhs care connect24$6.47$6.47$6.471.0×
care improvement44$6.47$6.47$6.471.0×
caprock44$16.18$16.18$16.181.0×
group pension admin [1450]44$44.50$155.37$326.297.3×
black lung [6055]44$34.71$59.63$121.753.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi St Lukes Health Baylor Med CtrHoustonTX20$267.00$93.45$4.66$9.70$226.95
St. Lukes The Woodlands HospitalThe WoodlandsTX19$267.00$93.45$4.66$9.70$226.95
St. Lukes Lakeside HospitalThe WoodlandsTX19$267.00$93.45$4.66$9.70$226.95
St. Lukes Sugar Land HospitalSugar LandTX18$267.00$93.45$4.66$9.70$226.95
St Lukes Hospital At The VintageHoustonTX20$267.00$93.45$4.66$9.70$226.95
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$10.00$6.00$4.00$9.50$10.00
St. Lukes Patients Medical CenterPasadenaTX12$273.00$95.55$5.16$9.41$232.05
College Station Medical CenterCollege StationTX10$224.00$78.40$5.43$9.38$190.40
St. Joseph Regional Health CenterBryanTX10$224.00$78.40$5.43$9.38$190.40
Brazosport Regional Health SystemLake JacksonTX11$141.00$49.35$5.43$9.38$78.96
Baylor Orthopedic And Spine HospitalArlingtonTX2$16.12$80.23$8,427.00
Trinity Regional Hospital SachseSachseTX8$41.96$33.57$3.88$8.41$35.67
Pam Squared At Corpus ChristiCorpus ChrstiTX26$139.70$139.70$4.53$8.09$118.75
Grimes St. Joseph Health CenterNavasotaTX9$224.00$78.40$5.43$8.02$190.40
Rice Medical CenterEagle LakeTX19$101.20$70.84$1.00$72.86$101.20
Baptist Saint Anthonys HospitalAmarilloTX81$89.00$8.90$27.59$62.30$75.65
Seton Medical Center Harker HeightsHarker HeightsTX15$145.00$14.50$26.10$56.55$155.44
Muleshoe Area Medical CenterMuleshoeTX4$66.00$40.00$25.00$51.00$66.00
Driscoll Childrens HospitalCorpus ChristiTX28$266.80$53.36$5.43$5.43$1,000.00
Ascension Seton BastropBastropTX10$214.00$128.40$3.06$5.42$14.75
Ascension Seton Shoal CreekAustinTX10$214.00$128.40$3.06$5.42$14.75
North Texas Medical CenterGainsvilleTX9$134.00$34.00$6.00$47.00$123.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$275.00$165.00$32.53$46.07$68.76
Heritage Park Surgical HospitalShermanTX2$142.00$85.20$8.09$46.07$68.76
Lifecare Spec Hosp Of North TexasDallasTX9$182.00$18.20$45.50$45.50$121.94
Hansford County Hospital DistrictSpearmanTX5$44.00$33.00$31.00$40.00$46.00
Eastland Memorial HospitalEastlandTX3$53.00$27.00$33.00$38.00$48.00
Crane County Hospital DistrictCraneTX2$80.00$56.00$20.00$35.00$72.00
Crescent Medical Center LancasterLancasterTX5$62.00$40.00$12.00$31.00$81.00
San Angelo Community Medical CenterSan AngeloTX22$266.00$133.00$6.47$29.36$236.74
Shannon Medical CenterSan AngeloTX22$266.00$133.00$6.47$29.36$236.74
River Crest HospitalSan AngeloTX22$266.00$133.00$6.47$29.36$236.74
Big Spring State HospitalBig SpringsTX22$266.00$133.00$6.47$29.36$236.74
Glen Rose Medical CenterGlen RoseTX8$42.00$42.00$19.00$29.00$40.00
Golden Plains Community HospitalBorgerTX6$126.00$88.20$7.76$28.98$85.68
Childrens Medical Center Of PlanoPlanoTX31$383.00$287.25$5.43$268.10$371.51
Texas Rehabilitation Hospital Of KelKellerTX17$487.00$48.70$121.75$201.13$326.29
Wilson N Jones Regional Medical CtrShermanTX12$41.96$33.57$3.88$18.46$41.96
Clay County Memorial HospitalHenriettaTX5$70.00$49.00$14.00$18.00$22.00
Ut Health East Texas Specialty HospiTylerTX14$295.00$29.50$73.75$164.61$188.80
Acuity Hospital Of South TexasSan AntonioTX11$216.22$216.22$4.27$162.17$194.60
Madison St. Joseph Health CenterMadisonvilleTX12$224.00$78.40$5.43$12.76$201.60
Chi St Lukes Health Memorial LufkinLufkinTX10$261.00$91.35$5.43$12.50$234.90
St Lukes Health Memorial San AugustSan AugustineTX11$261.00$91.35$5.43$12.16$234.90
Chi St Lukes Health Mem LivingstonLivingstonTX11$261.00$91.35$5.43$11.69$234.90
Burleson St. Joseph Health CenterCaldwellTX11$224.00$78.40$5.43$11.16$201.60
Warm Springs Rehab Hosp KyleKyleTX8$139.70$139.70$97.79$108.27$125.73
Corpus Christi Specialty HospitalCorpus ChristiTX8$139.70$139.70$97.79$104.78$125.73
Longview Regional Medical CenterLongviewTX0$337.92$91.24
Navarro Regional HospitalCorsicanaTX0$421.00$147.35
Haskell Memorial HospitalHaskellTX0$36.77$36.77
St Joseph Medical CenterHoustonTX0$306.26$306.26
The Medical Ctr Of Southeast TexasPort ArthurTX0$271.33$271.33
Kingwood Emergency HospitalKingwoodTX0$194.40$97.20
Laredo Medical CenterLaredoTX0$494.09$172.93
Trustpoint Rehabilitation Hospital OLubbockTX0$61.55
Laredo Specialty HospitalLaredoTX0$61.55

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.