Complete blood count (CBC) at CHI Health St. Mary's. CPT 85025.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$12.45cash price (self-pay)
$77.50list price
$3.22–$134range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Medicare|All Plans | $7.77 |
| Humana | Medicare|All Plans | $7.77 |
| Medica | Medicare|All Plans | $7.77 |
| PACE | Medicare|All Plans | $7.77 |
| United | Medicare|All Plans | $7.77 |
| Centene | Medicare|All Plans | $7.93 |
| Amerigroup | Medicare|All Plans | $8.16 |
| Great Plains | Medicare|All Plans | $8.16 |
| Amerigroup | Medicaid|All Plans | $16.61 |
| IAMolina | Medicaid|All Plans | $16.93 |
| AMPS | Commercial|All Plans | $17.25 |
| BCBS - NE | Commercial|BluePrint | $29.46 |
| BCBS - NE | Commercial|All Other Plans | $31.02 |
| Centene | Medicaid|NE Total Care | $31.77 |
| United | Medicaid|Community Plan | $31.77 |
| Medica | Commercial|All Other Plans | $70.53 |
| Medica | Commercial|CHI Health | $70.53 |
| MultiPlan PHCS | Commercial|All Plans | $73.62 |
| Greater Omaha Packing | Commercial|Broad Network | $74.40 |
| Greater Omaha Packing | Commercial|Narrow Network | $74.40 |
| Medica | Commercial|ACO | $74.40 |
| Medica | Commercial|Open Access | $74.40 |
| Midlands Choice | Commercial|Premier | $74.40 |
| Midlands Choice | Commercial|Standard | $74.40 |
| Millard Public Schools | Commercial|Broad Network | $74.40 |
| Millard Public Schools | Commercial|Narrow Network | $74.40 |
| One World | Commercial|Broad Network | $74.40 |
| One World | Commercial|Narrow Network | $74.40 |
| Timpte | Commercial|Broad Network | $74.40 |
| United | Commercial|All Plans | $74.40 |
Inpatient
$12.45cash price (self-pay)
$77.50list price
$13.54–$134range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $69.94 |
| Medica | Commercial|All Other Plans | $70.53 |
| Medica | Commercial|CHI Health | $70.53 |
| BCBS - NE | Commercial|All Other Plans | $73.62 |
| MultiPlan PHCS | Commercial|All Plans | $73.62 |
| Greater Omaha Packing | Commercial|Broad Network | $74.40 |
| Greater Omaha Packing | Commercial|Narrow Network | $74.40 |
| Medica | Commercial|ACO | $74.40 |
| Medica | Commercial|Open Access | $74.40 |
| Midlands Choice | Commercial|Premier | $74.40 |
| Midlands Choice | Commercial|Standard | $74.40 |
| Millard Public Schools | Commercial|Broad Network | $74.40 |
| Millard Public Schools | Commercial|Narrow Network | $74.40 |
| One World | Commercial|Broad Network | $74.40 |
| One World | Commercial|Narrow Network | $74.40 |
| Timpte | Commercial|Broad Network | $74.40 |
| United | Commercial|All Plans | $74.40 |
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