Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Complete Cbc W/Auto Diff Wbc
Lebanon, NH
See all hospitals reporting CPT 85025 →Price type
Alice_peck_day_memorial_hospital’s median price of $80 is 500% above the median hospital's median price ($13), higher than 88% of the 2,622 hospitals reporting CPT 85025. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Ambetter nh healthy families ambetter fee schedule · outpatient | $6.68 | $6.68 | $6.68 – $6.68 |
| 2 | Amerihealth Caritas amerihealth-caritas nh managed medicaid fee schedule · outpatient | $6.88 | $6.88 | $6.88 – $6.88 |
| 3 | Blue Cross Blue Shield bcbs medicare advantage fee schedule · outpatient | $29.80 | $29.80 | $29.80 – $29.80 |
| 4 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $45.27 | $45.27 | $45.27 – $45.27 |
| 5 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $54.88 | $54.88 | $54.88 – $54.88 |
| 6 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $54.88 | $54.88 | $54.88 – $54.88 |
| 7 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $76.83 | $76.83 | $76.83 – $76.83 |
| 8 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $79.92 | $79.92 | $79.92 – $79.92 |
| 9 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $79.92 | $79.92 | $79.92 – $79.92 |
| 10 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $85.03 | $85.03 | $85.03 – $85.03 |
| 11 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $85.80 | $85.80 | $85.80 – $85.80 |
| 12 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $89.69 | $89.69 | $89.69 – $89.69 |
| 13 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $90.80 | $90.80 | $90.80 – $90.80 |
| 14 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $95.13 | $95.13 | $95.13 – $95.13 |
| 15 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $98.79 | $98.79 | $98.79 – $98.79 |
| 16 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $99.90 | $99.90 | $99.90 – $99.90 |
| 17 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $115.44 | $115.44 | $115.44 – $115.44 |
Last updated: Jan 1, 2026
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