Complete blood count (CBC) at Providence Medical Center. CPT 85025.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated October 29, 2025.
Outpatient / ER
$85.50cash price (self-pay)
$92.00list price
$53.10–$92.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Health (Healthy Blue) | Managed Medicaid | $54.28 |
| Nebraska Total Care | Managed Medicaid | $54.28 |
| United Healthcare Community Plan | Managed Medicaid | $54.28 |
| Medica | Commercial | $82.80 |
| Blue Cross Blue Shield | Commercial | $83.89 |
| Aetna | Commercial | $84.64 |
| Ambetter | Commercial | $88.32 |
| Multiplan | Commercial | $88.32 |
| Midland's Choice | Commercial | $90.16 |
| United Healthcare | Commercial | $90.16 |
Inpatient
$85.50cash price (self-pay)
$92.00list price
$81.00–$92.12range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial | $82.80 |
| Aetna | Commercial | $84.64 |
| Ambetter | Commercial | $88.32 |
| Multiplan | Commercial | $88.32 |
| Midland's Choice | Commercial | $90.16 |
| United Healthcare | Commercial | $90.16 |
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