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
BLD CT; HG/PLATELET CT AUTO & AUTO COMPLT WBC
Monticello, IN
See all hospitals reporting CPT 85025 →Price type
Indiana University Health White Memorial Hospital Inc.’s median price of $8 is 42% below the median hospital's median price ($13), higher than 4% 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: 5 payers, 18 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 | Aetna hmo - coventry plans fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 2 | Aetna pos - cox medical plans fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 3 | Aetna ppo - in preferred fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 4 | Aetna ppo/pos fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 5 | Caresource all government medicaid hip fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 6 | Caresource all managed medicaid fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 7 | Cigna hmo fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 8 | Cigna hmo - open access fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 9 | Cigna hmo/pos - arnett hospital plans fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 10 | Cigna ppo fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 11 | Cigna ppo - drg plans fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 12 | Cigna ppo - non-drg fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 13 | UnitedHealthcare all managed medicaid fee schedule · outpatient | $7.77 | $7.77 | $7.77 – $7.77 |
| 14 | Aetna ppo - nap percent of total billed charges · outpatientfrom % of charges | $30.39 | $30.39 | $27.26 – $33.52 |
| 15 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $42.30 | $42.30 | $42.30 – $42.30 |
| 16 | UnitedHealthcare all managed care fee schedule · outpatient | $7.77 | $74.44 | $7.77 – $207.77 |
| 17 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $163.63 | $163.63 | $39.95 – $287.30 |
| 18 | Aetna ppo - first health percent of total billed charges · outpatientfrom % of charges | $837.39 | $837.39 | $27.26 – $1,648 |
Last updated: Mar 25, 2026
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