Complete blood count (CBC) at IU Health White Memorial Hospital. CPT 85025.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$14.65cash price (self-pay)
$47.00list price
$4.45–$208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All PPO | $4.45 |
| Elevance Health | All Traditional Plans | $4.45 |
| Elevance Health | All HMO/POS | $4.45 |
| Cigna | PPO | $7.77 |
| Cigna | HMO - Open Access | $7.77 |
| SIHO Insurance Services | HMO/POS Plans | $7.77 |
| Aetna | PPO/POS | $7.77 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $7.77 |
| Aetna | HMO - Coventry Plans | $7.77 |
| Aetna | POS - Cox Medical Plans | $7.77 |
| Cigna | HMO/POS - Arnett Hospital Plans | $7.77 |
| Aetna | PPO - IN Preferred | $7.77 |
| Cigna | HMO | $7.77 |
| SIHO Insurance Services | PPO - Union Health | $7.77 |
| Caresource | All Managed Medicaid | $7.77 |
| United Healthcare | All Managed Medicaid | $7.77 |
| Elevance Health | All Managed Medicaid | $7.77 |
| Managed Health Services | All Government Medicaid HIP | $7.77 |
| Caresource | All Government Medicaid HIP | $7.77 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $7.77 |
| Elevance Health | All Government Medicaid HIP | $7.77 |
| Managed Health Services | All Government Medicaid | $7.77 |
| SIHO Insurance Services | All PPO Plans | $7.77 |
| United Healthcare | All Managed Care | $7.77 |
| Self-Pay | Other - Self-Pay | $14.65 |
| Encore Health Network | PPO | $17.39 |
| Suburban Health Organization | PPO - Direct | $24.68 |
| Aetna | PPO - NAP | $27.26 |
| Aetna | PPO - First Health | $27.26 |
| Community Health Direct | HMO - LaPorte Regional Plans | $27.73 |
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