Scan my bill

Complete blood count (CBC) at Memorial Hospital of South Bend. CPT 85025.

What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$64.35cash price (self-pay)
$99.00list price
$4.16–$99.00range insurers pay
Insurance planNegotiated rate
McLaren | MI Medicaid$4.16
UHC | MI Medicaid$4.16
Anthem | Commercial (Granger)$7.10
Anthem | Exchange$7.77
Anthem | IN Medicaid HCC$7.77
Anthem | IN Medicaid HHW$7.77
Anthem | IN Medicaid HIP$7.77
Anthem | Medicare Advantage$7.77
Anthem | Pathways for Aging$7.77
Caresource | IN Medicaid HHW$7.77
Caresource | IN Medicaid HIP$7.77
Humana | Medicare Advantage$7.77
Humana | Pathways for Aging$7.77
MHS | IN Medicaid HCC$7.77
MHS | IN Medicaid HHW$7.77
MHS | IN Medicaid HIP$7.77
MdWise | IN Medicaid HHW$7.77
MdWise | IN Medicaid HIP$7.77
PACE | Medicare$7.77
UHC | IN Medicaid HCC$7.77
Caresource | Exchange$12.43
Anthem | HealthSync$13.25
Anthem | Commercial (excludes Granger)$13.84
Devoted Healthcare | Medicare Advantage$13.98
Anthem | Workers Compensation$14.76
Aetna | Medicare Advantage$26.16
MHS | Exchange$39.17
Plain Church | Commercial$45.43
CHA | Employer Group 4$59.40
Immergrun | Commercial$59.40

Inpatient

$64.35cash price (self-pay)
$99.00list price
$19.80–$81.18range insurers pay
Insurance planNegotiated rate
Devoted Healthcare | Medicare Advantage$19.80
Multiplan | Commercial$64.35
Cigna | OAP$69.30
UHC | Commercial$71.48
Humana | Commercial$72.27
Aetna | Commercial$72.86
CHA | Employer Group 5$74.25
CHA | Employer Group 6$79.20
Cigna BH | Commercial$79.20
Immergrun | Commercial$79.20
Plain Church | Commercial$79.20
Cigna | PPO$81.18
Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.

Scan my bill

All common services at Memorial Hospital of South Bend