Complete blood count (CBC) at Good Samaritan Hospital. CPT 85025.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$48.75cash price (self-pay)
$78.00list price
$9.77–$2,632range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid/Peachcare | $9.77 |
| UHC | Medicare Advantage | $21.06 |
| Aetna | Medicare Advantage | $21.06 |
| Ambetter | Medicare Advantage | $21.06 |
| Anthem BCBS | Medicare Advantage | $21.06 |
| Care Improvement Plus | Medicare Advantage | $21.06 |
| Caresource | Medicare Advantage | $21.06 |
| Centene | Medicare Advantage | $21.06 |
| Cigna HealthSpring | Medicare Advantage | $21.06 |
| Coventry | Medicare Advantage | $21.06 |
| Eon Health Plan | Medicare Advantage | $21.06 |
| Humana | Medicare Advantage | $21.06 |
| Kaiser Permanente | Medicare Advantage | $21.06 |
| Molina | Medicare Advantage | $21.06 |
| Pruitthealth Premier | Medicare Advantage | $21.06 |
| Todays Options PFFS | Medicare Advantage | $21.06 |
| Todays Options PPO | Medicare Advantage | $21.06 |
| VACCN United | Veterans Affairs | $21.06 |
| Wellcare | Medicare Advantage | $21.06 |
| Anthem | Pathway Program | $26.45 |
| Anthem | PPO | $56.36 |
| Anthem | HMO | $56.36 |
| COVENTRY | All Products | $58.50 |
| First Health | All Products | $58.50 |
| Humana | All Products | $58.50 |
| PHCS | All Products | $58.50 |
| Aetna | All Products | $62.40 |
| MERITAIN | All Products | $62.40 |
| Cigna | All products | $63.96 |
| Multiplan | All Products | $67.05 |
Inpatient
$48.75cash price (self-pay)
$78.00list price
$14.50–$72.90range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Pathway Program | $15.08 |
| Anthem | HMO | $39.60 |
| Anthem | PPO | $39.60 |
| NOVA | All Products | $66.30 |
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