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
HC CBC,COMPLTE/AUTO&AUTO DIFFERTI
Rowlett, TX
See all hospitals reporting CPT 85025 →Price type
Baylor Scott & White Medical Center - Lake Pointe’s median price of $16 is 17% above the median hospital's median price ($13), higher than 55% 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: 10 payers, 28 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $6.53 | $6.53 | $6.53 – $6.53 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $6.99 | $6.99 | $6.99 – $6.99 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 4 | Humana medicare facility · fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $8.16 | $8.16 | $8.16 – $8.16 |
| 6 | Molina medicare advantage facility · fee schedule · outpatient | $8.16 | $8.16 | $8.16 – $8.16 |
| 7 | Superior Healthplan medicare facility · fee schedule · outpatient | $8.16 | $8.16 | $8.16 – $8.16 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $8.70 | $8.70 | $8.70 – $8.70 |
| 9 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $9.32 | $9.32 | $9.32 – $9.32 |
| 10 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $9.75 | $9.75 | $9.75 – $9.75 |
| 11 | UnitedHealthcare charter facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 12 | UnitedHealthcare nexus facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 13 | UnitedHealthcare commercial broad facility · fee schedule · outpatient | $11.00 | $11.00 | $11.00 – $11.00 |
| 14 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $12.24 | $12.24 | $12.24 – $12.24 |
| 15 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $12.82 | $12.82 | $12.82 – $12.82 |
| 16 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $14.40 | $14.40 | $14.40 – $14.40 |
| 17 | Ambetter ambetter exchange facility · fee schedule · outpatient | $16.71 | $16.71 | $16.71 – $16.71 |
| 18 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $28.28 | $28.28 | $28.28 – $28.28 |
| 19 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $40.02 | $40.02 | $40.02 – $40.02 |
| 20 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $53.77 | $53.77 | $53.77 – $53.77 |
| 21 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $56.80 | $56.80 | $56.80 – $56.80 |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $59.75 | $59.75 | $59.75 – $59.75 |
| 23 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $90.53 | $90.53 | $90.53 – $90.53 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $101.00 | $101.00 | $101.00 – $101.00 |
| 25 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $106.51 | $106.51 | $106.51 – $106.51 |
Last updated: Jun 29, 2026
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