Complete blood count (CBC) at Dupont Hospital. CPT 85025.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2.92cash price (self-pay)
$29.00list price
$2.92–$129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem BCBS | Anthem IN Healthsync | $5.72 |
| Anthem | Anthem IN HMO PPO TRAD | $5.72 |
| Anthem | Anthem IN Marketplace STLD | $5.72 |
| Anthem BCBS | Anthem IN HIP | $7.77 |
| Amish Aid | Amish Aid | $7.83 |
| IN Dept of Correction | IN DOC | $8.08 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $8.61 |
| Cigna | Cigna HMO | $9.37 |
| Cigna | Cigna PPO | $10.53 |
| Aetna | Aetna NBD | $10.73 |
| Aetna PSSD J and J | Aetna PSSD JJ | $10.73 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $11.60 |
| Lutheran Advanced Network | Lutheran Advanced Network | $11.65 |
| Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $11.65 |
| Managed Health Services | MHS | $11.65 |
| Lutheran Preferred | Lutheran Three Rivers Preferred Plus 150 | $11.66 |
| Align IN Work Comp | Align IN Work Comp | $12.43 |
| Anthem BCBS | Anthem IN Work Comp | $12.43 |
| Aetna | Aetna | $12.96 |
| Lutheran Preferred | Lutheran Preferred Fixed | $13.05 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $13.05 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $13.05 |
| Lutheran Preferred | Lutheran Three Rivers Preferred Plus 175 | $13.60 |
| Encore Work Comp IN | Encore Work Comp IN | $13.99 |
| Encore PPO | Encore Combined PPO | $14.50 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $14.50 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $14.50 |
| Medical Mutual of OH | Medical Mutual of Ohio | $15.37 |
| IN Work Comp | IN Work Comp | $15.54 |
| Lutheran Preferred | Lutheran Northwest Health Preferred | $15.54 |
Inpatient
$4.86cash price (self-pay)
$29.00list price
$3.21–$129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $8.61 |
| Cigna | Cigna HMO | $9.37 |
| Cigna | Cigna PPO | $10.53 |
| Aetna | Aetna NBD | $10.73 |
| Aetna PSSD J and J | Aetna PSSD JJ | $10.73 |
| Physicians Health Plan | PHP Platinum Network | $11.23 |
| Aetna | Aetna | $12.96 |
| Self Pay | Self Pay | $13.05 |
| Medical Mutual of OH | Medical Mutual of Ohio | $15.37 |
| Lutheran Preferred | Lutheran Preferred Choice | $15.95 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $15.95 |
| Lutheran Preferred | Lutheran Preferred CCSI | $17.40 |
| Prime Health Services | Prime Health Services | $21.75 |
| Prime Health Services | Prime Health Services Auto | $21.75 |
| FrontPath | FrontPath Health Coalition | $23.20 |
| Encore Health Network | Encore Fully Funded | $23.78 |
| Advantage Health Solutions | Advantage Health Solutions | $24.07 |
| Multiplan | Multiplan PPO Primary Network | $24.94 |
| Allied Benefit Systems | Allied Benefit Systems | $26.10 |
| Encore Health Network | Encore Self Funded | $26.10 |
| Multiplan | Multiplan PPO Complimentary Network | $26.10 |
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