Cost analysis for CPT 85027 — Complete blood cell count (red cells, white blood cell, platelets), automated test
Average Medicare Payment
$6.31
2023 data
Total Payments (2023)
$20.6M
Services (2023)
3.3M
Price Change (2014–2023)
-25.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $8.50 | $29.7M | 3.5M | — |
| 2015 | $8.48 | $30.1M | 3.6M | -0.2% |
| 2016 | $8.48 | $29.5M | 3.5M | 0.0% |
| 2017 | $8.54 | $29.2M | 3.4M | +0.7% |
| 2018 | $7.77 | $26.9M | 3.4M | -9.0% |
| 2019 | $7.00 | $25.0M | 3.6M | -9.9% |
| 2020 | $6.39 | $20.1M | 3.1M | -8.7% |
| 2021 | $6.43 | $20.8M | 3.2M | +0.6% |
| 2022 | $6.36 | $20.2M | 3.2M | -1.1% |
| 2023 | $6.31 | $20.6M | 3.3M | -0.8% |
The most expensive state pays 1.0x more than the cheapest for this procedure. DC averages $6.34 vs PR at $6.28.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $6.34 | $849.56 | 134 | 1 |
| NM | $6.34 | $93.0K | 14.7K | 15 |
| DE | $6.34 | $26.3K | 4.2K | 4 |
| MA | $6.34 | $967.9K | 152.7K | 440 |
| MO | $6.34 | $158.0K | 24.9K | 90 |
| CA | $6.34 | $2.1M | 335.4K | 213 |
| FL | $6.34 | $1.8M | 286.8K | 101 |
| WY | $6.34 | $15.7K | 2.5K | 41 |
| CT | $6.34 | $44.0K | 7.0K | 36 |
| NV | $6.34 | $152.3K | 24.0K | 9 |
| RI | $6.34 | $41.6K | 6.6K | 6 |
| NJ | $6.34 | $2.4M | 373.9K | 81 |
| UT | $6.33 | $38.5K | 6.1K | 54 |
| NY | $6.33 | $598.2K | 94.4K | 254 |
| CO | $6.33 | $158.1K | 25.0K | 51 |
| AZ | $6.33 | $841.7K | 132.9K | 175 |
| KS | $6.33 | $601.8K | 95.0K | 81 |
| PA | $6.33 | $402.1K | 63.5K | 72 |
| IL | $6.33 | $641.6K | 101.3K | 189 |
| MI | $6.33 | $127.9K | 20.2K | 39 |
| MD | $6.33 | $347.9K | 55.0K | 45 |
| NH | $6.33 | $19.8K | 3.1K | 46 |
| TX | $6.33 | $1.1M | 179.6K | 614 |
| NC | $6.33 | $1.8M | 288.9K | 503 |
| VT | $6.33 | $9.9K | 1.6K | 32 |
| OH | $6.33 | $906.8K | 143.3K | 86 |
| VA | $6.33 | $654.0K | 103.4K | 194 |
| LA | $6.33 | $128.4K | 20.3K | 90 |
| OK | $6.33 | $145.4K | 23.0K | 26 |
| AK | $6.33 | $10.3K | 1.6K | 34 |
| KY | $6.33 | $89.7K | 14.2K | 53 |
| IN | $6.32 | $95.3K | 15.1K | 77 |
| GA | $6.32 | $434.6K | 68.7K | 106 |
| ND | $6.32 | $31.6K | 5.0K | 48 |
| AL | $6.32 | $422.8K | 66.9K | 63 |
| ME | $6.32 | $58.9K | 9.3K | 43 |
| SD | $6.32 | $54.9K | 8.7K | 59 |
| NE | $6.32 | $190.4K | 30.1K | 132 |
| WV | $6.32 | $19.6K | 3.1K | 17 |
| AR | $6.31 | $73.1K | 11.6K | 51 |
| TN | $6.31 | $456.8K | 72.3K | 382 |
| MT | $6.31 | $18.5K | 2.9K | 14 |
| OR | $6.31 | $130.9K | 20.7K | 94 |
| HI | $6.31 | $86.5K | 13.7K | 5 |
| SC | $6.31 | $352.2K | 55.8K | 246 |
| WA | $6.31 | $457.5K | 72.5K | 352 |
| WI | $6.31 | $384.3K | 60.9K | 479 |
| MN | $6.30 | $512.0K | 81.2K | 1.1K |
| ID | $6.30 | $13.1K | 2.1K | 21 |
| IA | $6.30 | $162.0K | 25.7K | 138 |
| MS | $6.29 | $114.8K | 18.2K | 102 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $1.5M | 238.4K | $6.34 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $1.1M | 173.2K | $6.33 |
| Unilab Corporation | Clinical Laboratory | CA | $626.6K | 98.9K | $6.34 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $569.0K | 89.8K | $6.34 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $548.6K | 86.5K | $6.34 |
| Unilab Corporation | Clinical Laboratory | CA | $478.5K | 75.5K | $6.34 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $475.4K | 75.0K | $6.34 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $426.5K | 67.3K | $6.34 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $325.6K | 51.5K | $6.33 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $312.7K | 49.3K | $6.34 |
| Quest Diagnostics Massachusetts Llc | Clinical Laboratory | MA | $295.9K | 46.7K | $6.34 |
| Sentara Reference Lab Solutions, Llc | Clinical Laboratory | VA | $282.1K | 44.6K | $6.33 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $281.6K | 44.5K | $6.33 |
| Quest Diagnostics Llc Il | Clinical Laboratory | IL | $261.8K | 41.3K | $6.34 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $253.0K | 39.9K | $6.34 |
| Labone Llc | Clinical Laboratory | KS | $250.9K | 39.6K | $6.34 |
| Pathgroup Labs, Llc | Clinical Laboratory | NC | $213.3K | 33.7K | $6.33 |
| Quest Diagnostics Llc | Clinical Laboratory | MA | $201.3K | 31.8K | $6.34 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $200.0K | 31.5K | $6.34 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $197.5K | 31.2K | $6.34 |
Based on the data, CPT 85027 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 25.8% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.