Complete blood count (CBC) at IU Health Jay Hospital. CPT 85025.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$21.03cash price (self-pay)
$47.00list price
$7.77–$208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | HMO | $7.77 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $7.77 |
| SIHO Insurance Services | All PPO Plans | $7.77 |
| Aetna | POS - Cox Medical Plans | $7.77 |
| Cigna | HMO/POS - Arnett Hospital Plans | $7.77 |
| Aetna | PPO - IN Preferred | $7.77 |
| Aetna | PPO/POS | $7.77 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $7.77 |
| Cigna | PPO - New Business | $7.77 |
| SIHO Insurance Services | HMO/POS Plans | $7.77 |
| Cigna | PPO | $7.77 |
| Cigna | HMO - Open Access | $7.77 |
| Aetna | HMO - Coventry Plans | $7.77 |
| Caresource | All Managed Medicaid | $7.77 |
| United Healthcare | All Managed Medicaid | $7.77 |
| Elevance Health | All Managed Medicaid | $7.77 |
| Elevance Health | All Government Medicaid HIP | $7.77 |
| Managed Health Services | All Government Medicaid HIP | $7.77 |
| Caresource | All Government Medicaid HIP | $7.77 |
| Managed Health Services | All Government Medicaid | $7.77 |
| United Healthcare | All Managed Care | $7.77 |
| Elevance Health | All IUHP Employee Plans | $18.80 |
| Elevance Health | All HMO/POS | $18.87 |
| Elevance Health | All PPO | $18.87 |
| Self-Pay | Other - Self-Pay | $21.03 |
| Suburban Health Organization | PPO - Direct | $24.68 |
| Suburban Health Organization | PPO - Witham Health Services | $24.68 |
| Deaconess Health System | All Managed Care | $27.26 |
| Community Health Direct | HMO - LaPorte Regional Plans | $27.73 |
| Parkview Health | HMO - Employee Plans | $29.05 |
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