Complete blood count (CBC) at Sanford Jackson Hospital. CPT 85025.
What Sanford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$120cash price (self-pay)
$150list price
$41.25–$141range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Minnesota | PMAP | $41.25 |
| Sanford Health Plan Align | Medicare Replacement | $47.10 |
| Ucare | Medicare Replacement | $50.55 |
| Wellmark SD | Medicare Replacement | $50.55 |
| Aetna | Medicare Replacement | $51.00 |
| Great Plains Medicare Advantage | Medicare Replacement | $51.00 |
| Health Partners | Medicare Replacement | $51.00 |
| United Healthcare | Medicare Replacement | $51.00 |
| Primewest | Medicare Replacement | $51.98 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $51.98 |
| Primewest | Medicaid Managed Care | $56.10 |
| Sanford Health Plan | Group Health/True | $80.37 |
| Sanford Health Plan | SD Exchange True | $80.37 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $82.50 |
| Blue Cross Blue Shield of Minnesota | State Employees | $82.50 |
| Security Health Plan | Commercial | $82.50 |
| Sanford Health Plan | Commercial/ND Pers | $94.55 |
| Sanford Health Plan | SD Exchange Commercial | $94.55 |
| Health Partners | State Employees | $103 |
| Health Partners | Commercial | $120 |
| United Healthcare | Commercial + Top 20 | $125 |
| Aetna | Commercial | $130 |
| Ucare | Commercial | $132 |
| Medica | Choice | $132 |
| Cigna | Commercial | $135 |
| First Choice Health Network | Commercial | $135 |
| Healthez | Commercial | $135 |
| Multiplan | Commercial | $135 |
| Medica | Elect | $141 |
Inpatient
$120cash price (self-pay)
$150list price
$80.37–$142range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $80.37 |
| Sanford Health Plan | SD Exchange True | $80.37 |
| Security Health Plan | Commercial | $82.50 |
| Sanford Health Plan | Commercial/ND Pers | $94.55 |
| Sanford Health Plan | SD Exchange Commercial | $94.55 |
| Health Partners | State Employees | $103 |
| Health Partners | Commercial | $120 |
| United Healthcare | Commercial + Top 20 | $125 |
| Aetna | Commercial | $130 |
| Ucare | Commercial | $132 |
| Medica | Choice | $133 |
| Cigna | Commercial | $135 |
| First Choice Health Network | Commercial | $135 |
| Healthez | Commercial | $135 |
| Multiplan | Commercial | $135 |
| Medica | Elect | $142 |
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