How much does a complete blood count (CBC) with differential cost in the US?

Across 1,267 hospitals that publish federally required price files, the median negotiated rate is $14.20, and the middle half of hospitals fall between $8.16 and $46.98. Self-pay cash prices have a median of $57 across the 999 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.

Why do CBC Blood Test prices vary so much?

Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 11.7 times what the cheapest tenth did, and state medians run from $5.90 in Nevada to $111 in South Dakota.

Is the cash price cheaper than using insurance?

Sometimes. At 227 of the 999 hospitals that list a cash price (23%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

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CBC Blood Test Cost in the US (2026): What 1,267 Hospitals NegotiatedNPI VERIFIED

Across 1,267 US hospitals that publish federally required price files, the median negotiated rate for a complete blood count (CBC) with differential is $14.20. The middle half of hospitals negotiated between $8.16 and $46.98; the priciest tenth negotiated more than $91, 11.7× the cheapest tenth (under $7.77). Hospitals that list a self-pay price ask a median of $57 (999 hospitals).

Code CPT 85025 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-28 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-06 · Page updated 2026-10-07

National median

$14.20

all plan types · 1,267 hospitals

Middle half

$8.16–$46.98

25th–75th percentile of hospitals

Median cash price

$57

self-pay · 999 hospitals list one

Medicare baseline

—

no OPPS rate for this service

1,267 hospitals, one bar per price band

median $14.20

$0$100$200

Each bar counts hospitals whose median rate falls in that price band; the last, dashed bar holds the 5 at $200 or more. The cheapest tenth negotiated under $7.77, the priciest tenth over $91 — 11.7× apart for the same procedure.

These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.

Medicare pays lab tests from its Clinical Laboratory Fee Schedule, not the outpatient (OPPS) table we use as a baseline, so no Medicare multiple is shown.

Coverage: 1,267 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 100 of these 1,267 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance type	Hospitals	Median	Middle half	× Medicare
Commercial (plan type not stated)	768	$38.36	$15.14 – $84	—
PPO	801	$42.28	$17.55 – $91	—
HMO	531	$30.00	$14.88 – $72	—
EPO	123	$43.31	$15.68 – $85	—
POS	73	$40.79	$14.79 – $94	—
ACA Marketplace	475	$14.37	$11.45 – $34.92	—
Medicare Advantage	725	$8.28	$7.77 – $33.00	—
Medicare (as listed)	712	$8.00	$7.77 – $10.37	—
Medicaid	824	$9.68	$7.67 – $34.08	—
Federal employees (FEP)	24	$48.42	$39.39 – $72	—
Workers' comp	138	$18.51	$10.88 – $66	—

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

State	Hospitals	Median	Middle half	× Medicare	Median cash
Alabama	16	$7.76	$7.67 – $8.76	—	$46.23
Arizona	12	$8.16	$8.00 – $19.29	—	$20.61
Arkansas	15	$13.99	$7.88 – $21.54	—	$48.75
California	44	$11.30	$7.77 – $32.91	—	$51
Colorado	9	$21.60	$13.31 – $27.50	—	$53
Florida	46	$8.24	$8.16 – $10.48	—	$83
Georgia	33	$13.65	$9.72 – $30.80	—	$40.00
Hawaii	11	$16.66	$7.79 – $19.58	—	$62
Idaho	14	$36.04	$31.62 – $46.24	—	$54
Illinois	49	$36.60	$10.36 – $101	—	$92
Indiana	27	$11.66	$7.77 – $24.25	—	$46.39
Iowa	43	$42.31	$27.89 – $59	—	$63
Kansas	52	$22.14	$14.82 – $44.95	—	$40.00
Kentucky	52	$8.00	$7.77 – $31.33	—	$55
Louisiana	28	$11.53	$7.77 – $27.63	—	$35.00
Maine	10	$58	$23.19 – $73	—	$36.00
Maryland	9	$29.33	$26.70 – $29.97	—	$29.16
Massachusetts	9	$15.47	$11.66 – $32.69	—	$56
Michigan	32	$8.82	$7.58 – $10.84	—	$38.20
Minnesota	30	$73	$18.84 – $90	—	$118
Mississippi	22	$7.76	$6.99 – $8.10	—	$51
Missouri	31	$16.83	$7.70 – $30.58	—	$58
Montana	22	$68	$41.65 – $94	—	$77
Nebraska	34	$62	$11.43 – $97	—	$93
Nevada	9	$5.90	$5.90 – $22.85	—	$283
New Hampshire	6	$40.65	$28.00 – $51	—	—
New Jersey	25	$7.77	$4.27 – $8.24	—	$8.94
New Mexico	17	$66	$9.32 – $108	—	$91
New York	38	$9.71	$7.77 – $13.45	—	$38.40
North Carolina	22	$11.12	$7.99 – $39.39	—	$45.27
North Dakota	13	$68	$42.00 – $85	—	$61
Ohio	58	$10.37	$8.22 – $18.15	—	$60
Oklahoma	35	$9.97	$7.62 – $30.12	—	$31.20
Oregon	24	$14.53	$11.91 – $38.36	—	$68
Pennsylvania	61	$10.69	$8.39 – $23.45	—	$48.83
Puerto Rico	12	$9.00	$8.88 – $9.00	—	$12.00
Rhode Island	5	$12.04	$11.24 – $14.03	—	$16.78
South Carolina	27	$8.16	$8.16 – $9.16	—	$82
South Dakota	12	$111	$81 – $126	—	$129
Tennessee	23	$8.16	$7.90 – $9.92	—	$27.90
Texas	107	$29.91	$11.12 – $51	—	$64
Utah	21	$66	$7.77 – $66	—	$69
Vermont	8	$63	$48.86 – $79	—	$91
Virginia	19	$10.64	$8.07 – $52	—	$51
Washington	20	$43.30	$25.15 – $72	—	$76
West Virginia	8	$41.95	$21.36 – $64	—	$57
Wisconsin	29	$25.11	$9.71 – $61	—	$71
Wyoming	10	$30.27	$27.36 – $71	—	$36.39

middle half of hospitalsstate median · a dotted end means the range runs past $100

States with at least 5 hospitals in our data (48 states). 3 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does a complete blood count (CBC) with differential cost in the US?: Across 1,267 hospitals that publish federally required price files, the median negotiated rate is $14.20, and the middle half of hospitals fall between $8.16 and $46.98. Self-pay cash prices have a median of $57 across the 999 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do CBC Blood Test prices vary so much?: Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 11.7 times what the cheapest tenth did, and state medians run from $5.90 in Nevada to $111 in South Dakota.
Is the cash price cheaper than using insurance?: Sometimes. At 227 of the 999 hospitals that list a cash price (23%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

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