Why is the price range for Complete Blood Count (CBC) with Automated Differential so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 4.6× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

What does CPT 85025 mean?

CPT 85025 is the CPT (Current Procedural Terminology) code for Complete Blood Count (CBC) with Automated Differential. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Complete Blood Count (CBC) with Automated Differential

CPT 8502538 Colorado hospitals reportingCMS-required shoppable

Measures red cells, white cells, platelets, and a differential of white-cell types. Screens for anemia, infection, and blood disorders.

Typical insured price · Colorado

$10to$46

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $25.

$10$46

Cash price (median)

$84

What you'd pay self-pay

Gross charge (median)

$217

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 38 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 85025
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 38
CMS shoppable: Yes — required disclosure

How they price Complete Blood Count (CBC) with Automated Differential

Across 38 Colorado hospitals that publish a commercial negotiated rate for CPT 85025, the typical insured price for Complete Blood Count (CBC) with Automated Differential runs $10 to $46 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $25 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $84, against a median gross charge of $217.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

· Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
· In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
· Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
· Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

39 hospitals

Pin a plan

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Position · Median	Negotiated band	Cash	Payers
Hca Healthone Swedish Medical Center Median negotiated $8 25th–75th $8 – $11 Cash — Payers 16	$8	$8 – $11	—	16
Grand River Health Rifle Gross charge $119 Median negotiated $8 25th–75th $8 – $8 Cash $60 Payers 1	$8	$8 – $8	$60	1
Hca Healthone Rose Medical Center Median negotiated $8 25th–75th $8 – $8 Cash — Payers 17	$8	$8 – $8	—	17
Hca Healthone Aurora Medical Center of Aurora Median negotiated $8 25th–75th $8 – $11 Cash — Payers 16	$8	$8 – $11	—	16
Hca Healthone Sky Ridge Medical Center Median negotiated $8 25th–75th $8 – $8 Cash — Payers 17	$8	$8 – $8	—	17
Hca Healthone Mountain Ridge Thornton Median negotiated $8 25th–75th $8 – $8 Cash — Payers 17	$8	$8 – $8	—	17
Hca Healthone Presbyterian St Luke S Medical Center Median negotiated $8 25th–75th $8 – $8 Cash — Payers 18	$8	$8 – $8	—	18
Community Hospital Grand Junction Gross charge $65 Median negotiated $8 25th–75th $8 – $9 Cash $36 Payers 7	$8	$8 – $9	$36	7
Family Health West Hospital Fruita Median negotiated $8 25th–75th $8 – $8 Cash — Payers 2	$8	$8 – $8	—	2
Commonspirit St Francis Hospital Interquest Gross charge $294 Median negotiated $10 25th–75th $8 – $65 Cash $118 Payers 14	$10	$8 – $65	$118	14
Commonspirit Longmont United Hospital Gross charge $294 Median negotiated $11 25th–75th $8 – $80 Cash $118 Payers 15	$11	$8 – $80	$118	15
Commonspirit St Francis Hospital Gross charge $294 Median negotiated $11 25th–75th $8 – $69 Cash $118 Payers 15	$11	$8 – $69	$118	15
Commonspirit St Mary Corwin Hospital Pueblo Gross charge $151 Median negotiated $12 25th–75th $8 – $70 Cash $60 Payers 14	$12	$8 – $70	$60	14
Commonspirit Orthocolorado Hospital Gross charge $294 Median negotiated $12 25th–75th $8 – $77 Cash $118 Payers 15	$12	$8 – $77	$118	15
Denver Health Medical Center Gross charge $76 Median negotiated $13 25th–75th $8 – $26 Cash $27 Payers 7	$13	$8 – $26	$27	7
Valley View Hospital Glenwood Springs Gross charge $89 Median negotiated $13 25th–75th $8 – $22 Cash $76 Payers 3	$13	$8 – $22	$76	3
Commonspirit St Anthony North Hospital Gross charge $294 Median negotiated $13 25th–75th $8 – $81 Cash $118 Payers 16	$13	$8 – $81	$118	16
Commonspirit St Anthony Hospital Lakewood Gross charge $294 Median negotiated $14 25th–75th $9 – $96 Cash $118 Payers 14	$14	$9 – $96	$118	14
Uchealth Highlands Ranch Hospital Gross charge $237 Median negotiated $21 25th–75th $8 – $99 Cash $71 Payers 12	$21	$8 – $99	$71	12
Uchealth Longs Peak Hospital Longmont Gross charge $237 Median negotiated $28 25th–75th $8 – $98 Cash $83 Payers 14	$28	$8 – $98	$83	14
Commonspirit St Elizabeth Hospital Fort Morgan Gross charge $202 Median negotiated $31 25th–75th $8 – $174 Cash $81 Payers 12	$31	$8 – $174	$81	12
Uchealth University of Colorado Hospital Aurora Gross charge $240 Median negotiated $36 25th–75th $19 – $121 Cash $84 Payers 15	$36	$19 – $121	$84	15
National Jewish Health Denver Gross charge $60 Median negotiated $39 25th–75th $8 – $45 Cash $42 Payers 8	$39	$8 – $45	$42	8
Uchealth Parkview Medical Center Pueblo Gross charge $169 Median negotiated $43 25th–75th $17 – $88 Cash $68 Payers 12	$43	$17 – $88	$68	12
Commonspirit St Anthony Summit Medical Center Gross charge $95 Median negotiated $44 25th–75th $8 – $76 Cash $38 Payers 14	$44	$8 – $76	$38	14
Uchealth Yampa Valley Medical Center Steamboat Springs Gross charge $58 Median negotiated $45 25th–75th $29 – $53 Cash $52 Payers 12	$45	$29 – $53	$52	12
Commonspirit Mercy Hospital Durango Gross charge $106 Median negotiated $46 25th–75th $8 – $87 Cash $42 Payers 16	$46	$8 – $87	$42	16
Uchealth Memorial Hospital Central Colorado Springs Gross charge $217 Median negotiated $46 25th–75th $19 – $91 Cash $98 Payers 14	$46	$19 – $91	$98	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $217 Median negotiated $46 25th–75th $19 – $91 Cash $98 Payers 14	$46	$19 – $91	$98	14
Uchealth Greeley Hospital Gross charge $284 Median negotiated $49 25th–75th $8 – $177 Cash $170 Payers 12	$49	$8 – $177	$170	12
Pikes Peak Regional Hospital Woodland Park Gross charge $117 Median negotiated $59 25th–75th $31 – $94 Cash $94 Payers 12	$59	$31 – $94	$94	12
Boulder Community Health Foothills Hospital Gross charge $173 Median negotiated $66 25th–75th $8 – $147 Cash $87 Payers 29	$66	$8 – $147	$87	29
Commonspirit St Thomas More Hospital Ca on City Gross charge $102 Median negotiated $77 25th–75th $16 – $87 Cash $41 Payers 14	$77	$16 – $87	$41	14
Uchealth Grandview Hospital Colorado Springs Gross charge $237 Median negotiated $77 25th–75th $17 – $110 Cash $83 Payers 13	$77	$17 – $110	$83	13
Uchealth Estes Valley Medical Center Estes Park Gross charge $107 Median negotiated $102 25th–75th $52 – $102 Cash $80 Payers 15	$102	$52 – $102	$80	15
Children S Hospital Colorado Colorado Springs Gross charge $229 Median negotiated $126 25th–75th $98 – $158 Cash $149 Payers 33	$126	$98 – $158	$149	33
Uchealth Medical Center of the Rockies Loveland Gross charge $284 Median negotiated $168 25th–75th $10 – $224 Cash $199 Payers 16	$168	$10 – $224	$199	16
Uchealth Poudre Valley Hospital Fort Collins Gross charge $284 Median negotiated $168 25th–75th $10 – $224 Cash $199 Payers 16	$168	$10 – $224	$199	16
Lincoln Community Hospital Hugo Gross charge $119 Median negotiated — 25th–75th — Cash $119 Payers —	—	—	$119	—

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for Complete Blood Count (CBC) with Automated Differential in Colorado?: Across 38 Colorado hospitals reporting a commercial negotiated rate for CPT 85025, the 25th-to-75th percentile band runs $10 to $46 per hospital median. The 50th-percentile (Colorado median) is $25.
Why is the price range for Complete Blood Count (CBC) with Automated Differential so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 4.6× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
What's the cash price for Complete Blood Count (CBC) with Automated Differential if I don't have insurance?: The median discounted cash price across reporting Colorado hospitals is $84. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
What does CPT 85025 mean?: CPT 85025 is the CPT (Current Procedural Terminology) code for Complete Blood Count (CBC) with Automated Differential. It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.