Complete blood count (CBC) at Springfield Memorial Hospital. CPT 85025.
What Springfield 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
$3.50–$163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance Fully Insured/Risk HMO | $3.50 |
| Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du | $7.08 |
| BCBS Medicare Advantage | BCBS Medicare Advantage | $7.61 |
| Aetna | Aetna Medicare Advantage | $7.61 |
| Health Alliance | Health Alliance Medicare Advantage PPO | $7.61 |
| Medicare | Medicare | $7.61 |
| Medicare Advantage - Hold | Medicare Advantage - Hold | $7.61 |
| Humana | Humana Medicare Advantage PPO | $8.00 |
| HealthLink | HealthLink EPO | $27.15 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $36.68 |
| Health Alliance | Health Alliance ACA | $52.16 |
| Commercial Workers Compensation | Commercial Workers Compensation | $68.11 |
| Illinois Workers Compensation | Illinois Workers Compensation | $71.69 |
| Current Health Network PPO | Current Health Network PPO | $73.35 |
| Aetna | Aetna PPO | $74.65 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $74.98 |
| Health Alliance | Health Alliance OA/PPO | $74.98 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $84.76 |
| Cigna | Cigna PPO | $85.58 |
| HealthLink | HealthLink HMO | $92.91 |
| Health Alliance | Health Alliance Self Funded | $94.38 |
| 6 Degrees Health | 6 Degrees Health | $97.80 |
| Hst | Hst | $97.80 |
| HopeTrust | HopeTrust | $97.80 |
| Humana | Humana PPO | $97.80 |
| Magellan | Magellan PPO | $97.80 |
| HealthLink | HealthLink PPO | $103 |
| Consociate | Consociate PPO | $106 |
| Health Alliance | Health Alliance Gated PPO | $106 |
| HFN | HFN Platinum PPO | $106 |
Inpatient
$163cash price (self-pay)
$163list price
$65.20–$163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $65.20 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $74.98 |
| PHCS/MultiPlan | PHCS Savility PPO | $88.02 |
| Health Alliance | Health Alliance Gated PPO | $89.65 |
| Health Alliance | Health Alliance Self Funded | $94.38 |
| 6 Degrees Health | 6 Degrees Health | $97.80 |
| HopeTrust | HopeTrust | $97.80 |
| Hst | Hst | $97.80 |
| Humana | Humana PPO | $97.80 |
| Magellan | Magellan PPO | $97.80 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $97.80 |
| HFN | HFN Platinum PPO | $106 |
| Hfn | Hfn PPO | $106 |
| Preferred Plan | Preferred Plan PPO | $122 |
| SOI McFarland | SOI McFarland PPO | $122 |
| SOI Rushville | SOI Rushville PPO | $122 |
| Methodist First Choice | Methodist First Choice PPO | $130 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $139 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $163 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $163 |
| BCBS | Blue Cross Memorial Health System | $163 |
| Liability | Liability | $163 |
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