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
LAB HEMO PLT AUTO W AUTO SCAN
Payson, AZ
See all hospitals reporting CPT 85025 →Price type
Banner Payson Medical Center’s median price of $18 is 38% above the median hospital's median price ($13), higher than 60% of the 2,624 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, 23 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $14.05 | $14.05 | $9.77 – $18.32 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.15 | $14.15 | $9.84 – $18.45 |
| 3 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.15 | $14.15 | $9.84 – $18.45 |
| 4 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $14.15 | $14.15 | $9.84 – $18.45 |
| 5 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.15 | $14.15 | $9.84 – $18.45 |
| 6 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.15 | $14.15 | $9.84 – $18.45 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $15.00 | $15.00 | $10.43 – $19.56 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $15.56 | $15.56 | $10.82 – $20.30 |
| 9 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $18.29 | $18.29 | $12.72 – $23.85 |
| 10 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $19.25 | $19.25 | $13.39 – $25.11 |
| 11 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $22.18 | $22.18 | $15.43 – $28.93 |
| 12 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $22.18 | $22.18 | $15.43 – $28.93 |
| 13 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $22.84 | $22.84 | $15.89 – $29.79 |
| 14 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $23.12 | $23.12 | $16.08 – $30.15 |
| 15 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.34 | $23.34 | $16.24 – $30.44 |
| 16 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $27.46 | $27.46 | $19.10 – $35.82 |
| 17 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $27.46 | $27.46 | $19.10 – $35.82 |
| 18 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $27.53 | $27.53 | $27.53 – $27.53 |
| 19 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $29.36 | $29.36 | $29.36 – $29.36 |
| 20 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $30.83 | $30.83 | $30.83 – $30.83 |
| 21 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $35.06 | $35.06 | $35.06 – $35.06 |
| 22 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $36.71 | $36.71 | $36.71 – $36.71 |
| 23 | Bcbs Az commercial facility · fee schedule · outpatient | $36.71 | $36.71 | $36.71 – $36.71 |
Last updated: Mar 2, 2026
See Complete blood count with automated differential pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.