Complete blood count (CBC) at M Health Fairview Southdale Hospital. CPT 85025.
What M Health Fairview Southdale Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$42.11cash price (self-pay)
$108list price
$5.25–$121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | PMAP | $5.25 |
| Itasca Medical Care | Medicare Advantage/MSHO | $7.65 |
| Primewest | MSHO | $7.65 |
| Sanford Health Plan | Medicare Advantage | $7.65 |
| Security Health Plan | Medicare Advantage | $7.65 |
| Itasca Medical Care | Managed Medicaid | $7.76 |
| Primewest | Managed Medicaid | $7.76 |
| South Country Health Alliance | PMAP | $7.76 |
| Blue Cross of Minnesota | Medicare Advantage | $7.96 |
| Medica | Medicare Advantage Non-SNP | $8.11 |
| Health Partners | Medicare Advantage | $8.11 |
| Hennepin Health | PMAP | $8.38 |
| UCare | PMAP | $8.42 |
| Medica | Managed Medicaid/AccessAbility | $9.91 |
| Medica | MSHO/Medicare Advantage SNP | $10.72 |
| Blue Cross of Minnesota | Aware Federal | $12.42 |
| Blue Cross of Minnesota | Aware/Blue Plus | $12.64 |
| UCare | Individual and Family with M Health Fairview | $13.60 |
| United Healthcare | Commercial | $13.60 |
| United Healthcare | Core | $13.60 |
| Health Partners | Medicare Cost | $17.02 |
| Health Partners | PMAP | $17.32 |
| UCare | Individual and Family | $17.58 |
| Medica | Bold | $18.36 |
| Medica | City of St. Paul/Essential-Uplan | $19.01 |
| Medica | Vantage Self Insured | $19.96 |
| Medica | Individual and Family Business Except ACO | $20.41 |
| Medica | Choice | $21.12 |
| Health Partners | Federal | $54.30 |
| Health Partners | Commercial | $55.28 |
Inpatient
$42.11cash price (self-pay)
$108list price
$54.70–$121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| America's PPO | EZCare | $56.01 |
| Sanford Health Plan | Commercial | $63.31 |
| America's PPO | Health EZ | $63.42 |
| America's PPO | Commercial | $68.69 |
| Security Health Plan | Commercial | $80.62 |
| First Health | Commercial | $88.15 |
| MultiPlan | Commercial | $91.38 |
| Private Healthcare Systems | Commercial | $91.38 |
| Wisconsin Physician Services | Commercial | $96.75 |
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