Complete blood count (CBC) at Mercy Hospital Fort Smith. CPT 85025.
What Mercy Hospital Fort Smith publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$17.55cash price (self-pay)
$27.00list price
$5.95–$35.51range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $5.95 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ftsm Ok Man | $6.91 |
| Humana Medicaid Contracted [320486] | Hb Ftsm Ok Managed Medicaid | $6.91 |
| Medica Medicare Advantage Contracted [320477] | Hb Ftsm Managed Medica | $7.62 |
| Provider Partners Health Plans Contracted [320450] | Hb Ftsm Managed M | $7.62 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Fts | $7.62 |
| Optum Health Behavioral Solutions [520250] | Hb Ftsm,Wldar,Ozkar,Prsar | $7.77 |
| United Medical Resources Contracted [320454] | Hb Ftsm,Wldar,Ozkar,Prs | $7.77 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ftsm Healthsp | $8.01 |
| Ambetter Contracted [320452] | Hb Ftsm Novasys Ambetter Exchange | $10.88 |
| Caresource Medicaid Contracted [320460] | Hb Ftsm Caresource Medicaid | $11.32 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Show Me | $13.50 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Town And Country | $13.50 |
| Show-Me Health Administrators Contracted [320483] | Hb Ftsm Rogr Dec A | $13.50 |
| 90 Degree Benefits Contracted [320436] | Hb Ftsm Dec Show Me | $13.50 |
| Healthlink Contracted [320179] | Hb Ftsm Rogr Cah Dec Sapaugh | $16.20 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Herman | $16.20 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Quiktrip Co | $16.20 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec Easter Seal | $16.20 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Dec City Of Jac | $16.20 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Rogr Cah Dec Sapaugh | $16.20 |
| Ebms [20493] | Hb Ftsm Crader | $16.20 |
| REFLECT HEALTH CONTRACTED [320492] | HB FTSM DEC WWWood Products | $16.20 |
| Imagine 360 Contracted [320494] | Hb Ftsm Rogr Dec Robinson Constructi | $16.20 |
| Ebms Contracted [320493] | Hb Ftsm Crader | $16.20 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec City Of Jackson | $16.20 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec Buchheit | $16.20 |
| Municipal Health Plan Contracted [320271] | Hb Ftsm Municipal Health | $16.20 |
| Preferred Health Plan Contracted [320522] | Hb Ftsm Net Affiliation | $17.55 |
| Healthlink Contracted [320179] | Hb Ftsm Net Affiliation | $17.55 |
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