Complete blood count (CBC) at Gundersen Palmer Lutheran Hospital and Clinic. CPT 85025.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$52.87cash price (self-pay)
$89.00list price
$2.09–$86.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $2.09 |
| Molina Health | Managed Medicaid | $2.09 |
| Wellmark | HMO | $11.30 |
| Wellmark | Indemnity/PPO | $12.40 |
| Alliance | Comprehensive/All Products | $29.53 |
| Alliance | Premier/All Products | $29.53 |
| Quartz | All Products | $37.65 |
| Quartz | All Other Self Funded | $39.16 |
| Quartz | Self Funded | $41.83 |
| Quartz | Level Funded | $43.17 |
| UHC | All Payer Appendix | $44.14 |
| Health Partners | Medicaid HMO | $44.50 |
| Wellmark | All Products | $45.39 |
| Aetna | Medicare Advantage | $46.28 |
| Amerigroup | Medicare Advantage | $46.28 |
| Health Partners | Medicare Advantage | $46.28 |
| Humana | Medicare Advantage | $46.28 |
| Iowa Total Care | Medicaid | $46.28 |
| Managed Health Service | Managed Medicaid | $46.28 |
| Quartz | Medicaid_Badgercare | $46.28 |
| Quartz | Medicare Advantage | $46.28 |
| UHC | Medicare Advantage | $46.28 |
| Wellmark | Medicare Advantage | $46.28 |
| Quartz | Fully Insured | $48.51 |
| UCARE | Non-Dually Eligible | $48.95 |
| UCARE | Dually Eligible | $48.95 |
| UCARE | MSHO/Minnesota Special Needs | $48.95 |
| Health Partners | Medicare Cost | $53.40 |
| Medical Associates | CAH Specific | $71.20 |
| Trilogy | All Products | $71.20 |
Inpatient
$52.87cash price (self-pay)
$89.00list price
$37.65–$86.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $52.42 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic