Complete blood count (CBC) at Henry Ford Providence Southfield Hospital. CPT 85025.

What Henry Ford Providence Southfield Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$22.96cash price (self-pay)

$41.00list price

$4.51–$13.96range insurers pay

Insurance plan	Negotiated rate
Blue Caid Michigan \| 1266_sjpk,Sjpr Medicaid Replacement Blue Caid Of	$4.51
Great Lakes- UHC Community Plan \| 1247_sjpk,Sjpr Medicaid Replacement	$4.51
Harbor Health Mcd \| 1243_sjpr Medicaid Repleacement Harbor Health Outp	$4.51
Health Plan Of Mi Medicaid HMO \| 1262_sjpk,Sjpr Medicaid Replacement M	$4.51
Jvhl - Medicaid Replacement \| 1245_sjpk,Sjpr Medicaid Replacement HMO	$4.51
Medicaid \| 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101	$4.51
Medicaid Replacement \| 1242_sjpr Medicaid HMO Outpatient 20250101	$4.51
Molina Health \| 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp	$4.51
Omnicare Medicaid HMO \| 1244_sjpr Medicaid Repleacement Omnicare Outpa	$4.51
Total Health Care \| 1246_sjpk,Sjpr Medicaid Replacement Total Health C	$4.51
Smarthealth Non Assigned \| 1074_sjpk,Sjpr Smart Health Non Assigned 20	$5.24
Amerihealth Vip Care Mcr \| 1254_sjpk,Sjpr Medicare Advantage Ameriheal	$6.68
Blue Cross PPO \| 1137_sjpr Blue Cross Blue Shield PPO 20220401	$7.58
Bc Metro Detroit EPO \| 1127_sjpr Blue Cross Blue Shield Metro Detroit	$7.58
Bc Metro Detroit HMO \| 1133_sjpr Blue Cross Blue Shield Metro Detroit	$7.58
Bcn Local Network Southeast \| 1131_sjpr Blue Cross Blue Shield Bcn Loc	$7.58
Blue Care Network \| 1129_sjpr Blue Cross Blue Shield Bcn 20220401	$7.58
Blue Cross Traditional \| 1135_sjpr Blue Cross Blue Shield Of Michigan	$7.58
Aetna Medicare \| 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20	$7.77
Auto Insurance \| 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101	$7.77
Jvhl - Mcr Replacement \| 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat	$7.77
Mcr Replacement \| 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202	$7.77
Veterans Choice \| 1256_va Optum Health Outpatient 20250101	$7.77
Humana Mcr \| 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250	$7.85
Meridian Wellcare \| 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$8.16
Molina Advantage \| 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient	$8.16
Aetna \| 1203_sjpk,Sjpr Aetna PPO 20241001	$9.22
Meridian Ambetter \| 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501	$9.71
Molina Marketplace \| 1259_sjpk,Sjpr Molina Marketplace Outpatient 2025	$9.71
Priority PPO \| 1105_sjpk,Sjpr Priority PPO 20210801	$10.65

Inpatient

—cash price (self-pay)

—list price

$4.51–$10.72range insurers pay

Insurance plan	Negotiated rate
Amerihealth Vip Care Mcr \| 1174_sjpk,Sjpr Medicare Advantage Ameriheal	$7.69
Aetna Medicare \| 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202	$7.77
Auto Insurance \| 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001	$7.77
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$7.77
Jvhl - Mcr Replacement \| 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati	$7.77
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$7.77
Mcr Replacement \| 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024	$7.77
Veterans Choice \| 1230_va Optum Health Inpatient 20241001	$7.77
Humana Mcr \| 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410	$7.85
Meridian Wellcare \| 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$8.16
Molina Advantage \| 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient	$8.16
Meridian Ambetter \| 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100	$9.71
Molina Marketplace \| 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241	$9.71
Smart Health \| 1227_sjpk,Sjpr Smart Health Inpatient 20241001	$10.72

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All common services at Henry Ford Providence Southfield Hospital