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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$5.71 – $680.81

Negotiated median

$21.40

CPT 85027 Complete blood count without differential · Showing 195 of 195 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$164.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$130.00
Jefferson Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$127.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$119.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$117.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$108.00
Summers County Arh	WV	Chargemaster	N/A	both	gross	$107.00
Summers County Arh	WV	Chargemaster	N/A	outpatient	gross	$107.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$103.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$103.00
United Hospital Center	WV	Chargemaster	N/A	outpatient	gross	$99.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$99.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$92.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$89.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$89.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$87.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$84.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$84.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$84.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$82.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$80.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$74.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$70.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$70.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$68.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$68.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$68.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$66.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$66.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$66.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$65.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$65.00
United Hospital Center	WV	Chargemaster	N/A	outpatient	gross	$64.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$64.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$64.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$64.00
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$57.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$56.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$35.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$20.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$19.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$82.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$65.00
Summers County Arh	WV	Cash pay	N/A	both	cash	$64.20
Summers County Arh	WV	Cash pay	N/A	outpatient	cash	$64.20
Jefferson Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$63.50
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$61.80
Beckley Arh	WV	Cash pay	N/A	both	cash	$61.80
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$59.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$58.50
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$56.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$54.00
United Hospital Center	WV	Cash pay	N/A	outpatient	cash	$49.50
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$49.50
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$46.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$44.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$44.50
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$43.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$42.00
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$42.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$42.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$41.00
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$40.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$37.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$35.00
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$35.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$34.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$34.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$34.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$33.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$33.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$33.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$32.50
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$32.50
United Hospital Center	WV	Cash pay	N/A	outpatient	cash	$32.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$32.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$32.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$32.00
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$28.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$17.50
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$16.00
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$15.20
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$6.47
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$6.47
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$6.47
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$6.47
United Hospital Center	WV	[De-identified Min]	—	outpatient	min	$6.11
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$6.11
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$6.11
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$6.11
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$6.11
Beckley Arh	WV	[De-identified Min]	—	outpatient	min	$5.82
Beckley Arh	WV	[De-identified Min]	—	both	min	$5.82
Summers County Arh	WV	[De-identified Min]	—	outpatient	min	$5.82
Summers County Arh	WV	[De-identified Min]	—	both	min	$5.82
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$5.71
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$4.21
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$4.21
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$4.21
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	both	negotiated	$680.81
Summers County Arh	WV	Aetna	Commercial	both	negotiated	$94.16
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$90.64
Summers County Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$89.88
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$86.52
Summers County Arh	WV	umr	Commercial	outpatient	negotiated	$84.53
Summers County Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$84.53
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$81.37
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$81.37
Summers County Arh	WV	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$80.68
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$56.00
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$47.56
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$47.56
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$45.82
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$44.80
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$42.00
Beckley Arh	WV	Blue Cross Blue Shield	Indemnity and Managed Care	outpatient	negotiated	$40.58
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$39.80
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$39.80
Webster County Memorial Hospital	WV	hne [11108]	All HEALTH NEW ENGLAND HR [294] Plans	both	negotiated	$36.44
Summers County Arh	WV	UnitedHealthcare	Medicare	outpatient	negotiated	$33.17
Beckley Arh	WV	Blue Cross Blue Shield	ACA	outpatient	negotiated	$32.35
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$28.90
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$27.66
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$24.05
Summers County Arh	WV	Aetna	Medicare	outpatient	negotiated	$23.54
Summers County Arh	WV	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$21.61
Summers County Arh	WV	Humana	Medicare	outpatient	negotiated	$21.61
Summers County Arh	WV	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$21.61
Summers County Arh	WV	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$21.61
Summers County Arh	WV	the health plan	Medicaid	outpatient	negotiated	$21.61
Summers County Arh	WV	WellCare	Medicare	outpatient	negotiated	$21.61
Summers County Arh	WV	the health plan	Medicare	outpatient	negotiated	$21.40
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$20.31
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$20.31
Webster County Memorial Hospital	WV	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	both	negotiated	$17.00
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$14.56
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$11.01
Webster County Memorial Hospital	WV	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$9.04
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$7.80
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$6.92
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	both	negotiated	$6.92
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$6.79
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$6.79
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plans	both	negotiated	$6.79
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$6.79
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$6.79
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	both	negotiated	$6.79
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$6.68
Webster County Memorial Hospital	WV	Cigna	All CIGNA HR [34] Plans	both	negotiated	$6.62
Beckley Arh	WV	Aetna	Medicare	outpatient	negotiated	$6.47
Beckley Arh	WV	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$6.47
Beckley Arh	WV	Humana	Medicare	outpatient	negotiated	$6.47
Beckley Arh	WV	the health plan	Medicare	outpatient	negotiated	$6.47
Beckley Arh	WV	UnitedHealthcare	Medicare	outpatient	negotiated	$6.47
Beckley Arh	WV	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$6.47
Beckley Arh	WV	WellCare	Medicare	outpatient	negotiated	$6.47
Beckley Arh	WV	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$6.47
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$6.47
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$6.47
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$6.47
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$6.47
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	both	negotiated	$6.47
Beckley Arh	WV	the health plan	Medicaid	outpatient	negotiated	$5.82
Summers County Arh	WV	unicare of west virginia	Medicaid	outpatient	negotiated	$5.82
Webster County Memorial Hospital	WV	Medicaid	All MGB (FORMERLY AHP) ACO HR [307] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	Medicaid	All FALLON ACO HR [304] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	Medicaid	All FALLON MCO HR [305] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	Medicaid	All TUFTS TOGETHER HR [124] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	Medicaid	All WELLSENSE MEDICAID (FORMERLY BMC) HR [40] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	Medicaid	All HEALTH NEW ENGLAND/MINUTEMAN MCO HR [303] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	masshealth [20302]	All MASSHEALTH HR [91] Plans	both	negotiated	$5.71
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$680.81
Summers County Arh	WV	[De-identified Max]	—	outpatient	max	$94.16
Summers County Arh	WV	[De-identified Max]	—	both	max	$94.16
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$90.64
Beckley Arh	WV	[De-identified Max]	—	both	max	$90.64
Princeton Community Hospital	WV	[De-identified Max]	—	outpatient	max	$34.91
Wheeling Hospital	WV	[De-identified Max]	—	outpatient	max	$26.55
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$9.71
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$9.71
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$9.71
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$9.70
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$9.70
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$9.70
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$7.52
United Hospital Center	WV	[De-identified Max]	—	outpatient	max	$7.05
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$7.05
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$7.05

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).