Cheyenne Regional Medical Center — CBC blood test prices
← Hospital overviewVerified from Cheyenne Regional Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
15 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC COMPL AUTOM CBC W PLT 130212 3890 3895 Outpatient | 85027 CPT | $113 | $78.83 | $6.60 – $108 | $94.64 | |
| HC COMPL CBC W PLT W AUTOM DIFF 130173 1500 22744 Outpatient | 85025 CPT | $150 | $105 | $7.93 – $144 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 22950 Outpatient | 85025 CPT | $35.93 | $25.16 | $7.93 – $34.49 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3016839 Outpatient | 85025 CPT | $71.28 | $49.90 | $7.93 – $68.43 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3016847 Outpatient | 85025 CPT | $56.20 | $39.34 | $7.93 – $53.95 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3016854 Outpatient | 85025 CPT | $60.67 | $42.47 | $7.93 – $58.24 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3016862 Outpatient | 85025 CPT | $66.71 | $46.70 | $7.93 – $64.04 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3016870 Outpatient | 85025 CPT | $61.08 | $42.76 | $7.93 – $58.64 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3108 Outpatient | 85025 CPT | $34.22 | $23.96 | $7.93 – $32.85 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3111 4033 Outpatient | 85025 CPT | $31.93 | $22.36 | $7.93 – $30.65 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 3127 Outpatient | 85025 CPT | $36.05 | $25.24 | $7.93 – $34.61 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 4031 Outpatient | 85025 CPT | $31.29 | $21.91 | $7.93 – $30.04 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF PR137 Outpatient | 85025 CPT | $141 | $99.01 | $7.93 – $136 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF PR147 Outpatient | 85025 CPT | $141 | $99.01 | $7.93 – $136 | $126 | |
| HC COMPL CBC W PLT W AUTOM DIFF 130332 Outpatient | 85025 CPT | $44.02 | $30.82 | $7.93 – $42.26 | $126 |