Complete blood count (CBC) at Jacksonville Memorial Hospital. CPT 85025.
What Jacksonville Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$163cash price (self-pay)
$163list price
$0.38–$163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Illinois Medicaid | $9.42 |
| Molina HealthCare | Molina Medicaid | $9.42 |
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $15.50 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $16.59 |
| Health Alliance | Health Alliance Medicare Advantage | $16.59 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $16.59 |
| Medicare | Medicare | $16.59 |
| United HealthCare | United HealthCare Medicare Advantage | $17.42 |
| Tricare | Tricare | $18.61 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $25.56 |
| UHC Va Ccn | UHC Va Ccn | $26.08 |
| Commercial Workers Compensation | Commercial Workers Compensation | $34.29 |
| Corvel/CorCare | Corvel/CorCare | $48.31 |
| Illinois Workers Compensation | Illinois Workers Compensation | $54.68 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $74.98 |
| 6 Degrees Health | 6 Degrees Health | $97.80 |
| Hope Trust | Hope Trust | $97.80 |
| Hst | Hst | $97.80 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $111 |
| Cigna | Cigna | $113 |
| United Healthcare | United Healthcare PPO | $117 |
| Aetna | Aetna PPO | $122 |
| Current Health Network | Current Health Network | $122 |
| Healthlink | Healthlink HMO | $139 |
| Humana/ChoiceCare | Humana/ChoiceCare | $139 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $147 |
| Hfn | Hfn PPO | $155 |
| HFN | HFN Workers Compensation | $155 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $163 |
| Liability | Liability | $163 |
Inpatient
$163cash price (self-pay)
$163list price
$74.98–$163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $74.98 |
| Current Health Network | Current Health Network | $89.65 |
| 6 Degrees Health | 6 Degrees Health | $97.80 |
| Hope Trust | Hope Trust | $97.80 |
| Hst | Hst | $97.80 |
| Cigna | Cigna | $113 |
| Aetna | Aetna PPO | $114 |
| Humana/ChoiceCare | Humana/ChoiceCare | $139 |
| Hfn | Hfn PPO | $155 |
| HFN | HFN Workers Compensation | $155 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $163 |
| Liability | Liability | $163 |
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