Complete blood count (CBC) at Dominican Hospital. CPT 85025.
What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$51.30cash price (self-pay)
$376list price
$7.77–$542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield CA | Medicare|All Plans | $7.77 |
| Health Net | Medicare|All Plans | $7.77 |
| Kaiser | Medicare|All Plans | $7.77 |
| United | Medicare|All Plans | $7.77 |
| Blue Shield CA | Commercial|DHMF | $8.86 |
| United | Commercial|All Other Plans | $9.32 |
| United | Commercial|HMO | $9.32 |
| United | Commercial|Non-Options PPO | $9.32 |
| United | Commercial|Options PPO | $9.32 |
| BCBS - Anthem | Medicaid|All Plans | $9.68 |
| COSC Psych | Medicaid|All Plans | $9.68 |
| Central California Alliance for Health | Medicaid|All Plans | $9.68 |
| Health Net | Medicaid|< 21 | $14.65 |
| Health Net | Medicaid|> 21 | $14.65 |
| Sutter Health | Commercial|All Plans | $24.32 |
| Cigna | Commercial|LocalPlus | $69.57 |
| Cigna | Commercial|All Other Plans | $74.01 |
| Aetna | Commercial|HMO | $82.09 |
| Aetna | Commercial|PPO | $82.09 |
| BCBS - Anthem | Commercial|All Other Plans | $108 |
| BCBS - Anthem | Commercial|MCS | $142 |
| Blue Shield CA | Commercial|ACO Trio | $173 |
| Blue Shield CA | Commercial|Exchange | $173 |
| Blue Shield CA | Commercial|All Other Plans | $211 |
| Kaiser | Commercial|All Plans | $244 |
| Western Growers | Commercial|All Plans | $263 |
| Healthsmart | Commercial|All Plans | $301 |
| First Health | Commercial|All Plans | $320 |
| Multiplan | Commercial|All Plans | $320 |
Inpatient
$51.30cash price (self-pay)
$376list price
$91.20–$542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial|All Plans | $301 |
| First Health | Commercial|All Plans | $320 |
| Multiplan | Commercial|All Plans | $320 |
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