Providence Little Co of Mary Med Center San Pedro — CBC blood test prices
← Hospital overviewVerified from Providence Little Co of Mary Med Center San Pedro’s published price file
Includes cash prices, list prices. 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.
12 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC Inpatient & outpatient | 85025 HCPCS | $281 | $98.35 | — | — | |
| HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC Outpatient | 85025 HCPCS | $118 | $41.30 | — | — | |
| HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB Inpatient & outpatient | 85025 HCPCS | $281 | $98.35 | — | — | |
| HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB Outpatient | 85025 HCPCS | $118 | $41.30 | — | — | |
| HC BLOOD COUNT COMPLETE AUTOMATED Inpatient & outpatient | 85027 HCPCS | $209 | $73.15 | — | — | |
| HC BLOOD COUNT COMPLETE AUTOMATED Outpatient | 85027 HCPCS | $74.00 | $25.90 | — | — | |
| HC BLOOD COUNT COMPLETE AUTOMATED LAB Inpatient & outpatient | 85027 HCPCS | $209 | $73.15 | — | — | |
| HC BLOOD COUNT COMPLETE AUTOMATED LAB Outpatient | 85027 HCPCS | $74.00 | $25.90 | — | — | |
| HC CBC WITH DIFF AUTO Inpatient & outpatient | 85025 HCPCS | $281 | $98.35 | — | — | |
| HC CBC WITH DIFF AUTO Outpatient | 85025 HCPCS | $118 | $41.30 | — | — | |
| HC COMPLETE CBC AUTOMATED Inpatient & outpatient | 85027 HCPCS | $209 | $73.15 | — | — | |
| HC COMPLETE CBC AUTOMATED Outpatient | 85027 HCPCS | $74.00 | $25.90 | — | — |