Complete blood count (CBC) at INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest. CPT 85025.
What INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$109cash price (self-pay)
$155list price
$80.32–$135range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Hpn Healthsync | Anthem Hpn Healthsync | $80.32 |
| Anthem Sync All Others Sync | Anthem Sync All Others Sync | $80.32 |
| Anthem Sync - Purdue University | Anthem Sync - Purdue University | $80.32 |
| Anthem Sync For General Motors Employees Gm Symbol Sync | Anthem Sync | $80.32 |
| Anthem BCBS Hpn Blue High Performance Network (Hpn) | Anthem BCBS Hp | $84.54 |
| Anthem BCBS Anthem Enhanced Choice (Prefix E7b) | Anthem BCBS Anthem E | $84.54 |
| Anthem Blue Cross And Blue Shield | Anthem Blue Cross And Blue Shield | $84.54 |
| Anthem Geoblue BCBS International Plan | Anthem Geoblue BCBS Internati | $84.54 |
| Anthem HMO Blue Preferred | Anthem HMO Blue Preferred | $84.54 |
| Anthem Ichia Ichia | Anthem Ichia Ichia | $84.54 |
| Anthem Pathway Pathway HMO | Anthem Pathway Pathway HMO | $84.54 |
| Anthem Pathway Pathway POS | Anthem Pathway Pathway POS | $84.54 |
| Anthem Pathway X Pathway X HMO | Anthem Pathway X Pathway X HMO | $84.54 |
| Anthem Pathway X Pathway X POS | Anthem Pathway X Pathway X POS | $84.54 |
| Anthem PPO Blue Access | Anthem PPO Blue Access | $84.54 |
| Anthem Presumpt Eligbility | Anthem Presumpt Eligbility | $84.54 |
| Anthem Traditional Blue Traditional | Anthem Traditional Blue Traditio | $84.54 |
| BCBS | BCBS | $84.54 |
| BCBS - Federal Federal (Fep) | BCBS - Federal Federal (Fep) | $84.54 |
| BCBS - Premara Please Check For Pcp Auth Requirement | BCBS - Premara | $84.54 |
| BCBS Federal Employee Program | BCBS Federal Employee Program | $84.54 |
| BCBS Of South Carolina | BCBS Of South Carolina | $84.54 |
| BCBS Of X (E.G. Michigan) | BCBS Of X (E.G. Michigan) | $84.54 |
| BCBS Other (E.G. Highmark) | BCBS Other (E.G. Highmark) | $84.54 |
| Blue Cross Anthem Advantage | Blue Cross Anthem Advantage | $84.54 |
| Blue Cross Local | Blue Cross Local | $84.54 |
| All Savers | All Savers | $95.14 |
| Bind - Surest | Bind - Surest | $95.14 |
| Ascension Health Partners St. Vincent Employees | Ascension Health Par | $97.98 |
| Allegiance | Allegiance | $112 |
Inpatient
$44,264cash price (self-pay)
$102,430list price
$80.32–$102,430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross And Blue Shield | Anthem Blue Cross And Blue Shield | $84.54 |
| Anthem HMO Blue Preferred | Anthem HMO Blue Preferred | $84.54 |
| Aetna | Aetna | $115 |
| Aetna Open Access | Aetna Open Access | $115 |
| Aetna Apcn Apcn - Aetna Premium Care Network | Aetna Apcn Apcn - Aet | $115 |
| Aetna HMO Aetna Choice POS | Aetna HMO Aetna Choice POS | $115 |
| Aetna HMO Aetna Select | Aetna HMO Aetna Select | $115 |
| Aetna HMO Managed Choice HMO | Aetna HMO Managed Choice HMO | $115 |
| Aetna PPO Nap (National Advantage Program) | Aetna PPO Nap (National A | $115 |
| Aetna PPO Open Choice PPO | Aetna PPO Open Choice PPO | $115 |
| Aetna PPO Signature Administrators | Aetna PPO Signature Administrator | $115 |
| Aarp | Aarp | $29,509 |
| Aarp Medicare Complete | Aarp Medicare Complete | $29,509 |
| Aarp Medicare Complete Aarp Medicare Complete Via United | Aarp Medica | $29,509 |
| Aarp Medicare Complete/Wellmed Wellmed As Payor | Aarp Medicare Comple | $29,509 |
| Aarp Medicare Supplement Plan | Aarp Medicare Supplement Plan | $29,509 |
| Aarp Medicarecomplete Choice PPO | Aarp Medicarecomplete Choice PPO | $29,509 |
| Aarp Po 740819 | Aarp Po 740819 | $29,509 |
| Aarp Select Aarp Select Plan C & F | Aarp Select Aarp Select Plan C | $29,509 |
| Aarp Supplemental | Aarp Supplemental | $29,509 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $29,509 |
| Aetna Medicare HMO Aetna Golden Medicare Choice | Aetna Medicare HMO A | $29,509 |
| Aetna Medicare PPO Aetna Medicare | Aetna Medicare PPO Aetna Medicare | $29,509 |
| Aetna Medicare PPO Esa Aetna Medicare With Esa On Id Card | Aetna Medi | $29,509 |
| Aetna Medicare Uaw Esa Uaw Members With Esa On Id Card | Aetna Medicar | $29,509 |
| Aetna Medicare Uaw PPO Uwa Members With PPO Plan | Aetna Medicare Uaw | $29,509 |
| Aetna Senior Supplemental | Aetna Senior Supplemental | $29,509 |
| Aetna Senior Supplemental Insurance | Aetna Senior Supplemental Insura | $29,509 |
| Allwell - Mhs Mhs - Allwell | Allwell - Mhs Mhs - Allwell | $29,509 |
| Anthem Healthy Indiana Health Indiana Plan - Anthem | Anthem Healthy I | $29,509 |
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All common services at INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest