Complete blood count (CBC) at Jefferson Community Health Center. CPT 85025.
What Jefferson Community Health Center publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$124list price
$62.00–$119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Medicaid MCO | $62.00 |
| United Healthcare Medicaid | Medicaid MCO | $62.00 |
| Molina | Medicaid MCO | $62.00 |
| Aetna Medicare Advantage | Medicare Advantage | $73.16 |
| United Healthcare Medicare Advantage | Medicare Advantage | $73.16 |
| Blue Cross Medicare Advantage | Medicare Advantage | $73.16 |
| Blue Cross HIX | Health Exchange | $79.70 |
| Blue Cross HMO/PPO | HMO/PPO | $83.89 |
| United Healthcare HMO/PPO | HMO/PPO | $118 |
| Aetna HMO/PPO | HMO/PPO | $119 |
| Midlands Choice | HMO/PPO | $119 |
Inpatient
—cash price (self-pay)
$124list price
$112–$119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $112 |
| Blue Cross HMO/PPO | HMO/PPO | $118 |
| United Healthcare HMO/PPO | HMO/PPO | $118 |
| Aetna HMO/PPO | HMO/PPO | $119 |
| Midlands Choice | HMO/PPO | $119 |
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