Complete blood count (CBC) at Good Samaritan Hospital. CPT 85025.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$125cash price (self-pay)
$125list price
$7.77–$367range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beacon Medicare | Beacon Medicare | $7.77 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $7.77 |
| Medicare | Medicare | $7.77 |
| Medicare Managed | Medicare Managed | $7.77 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $7.77 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $7.93 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $8.16 |
| Health First Medicare | Health First Medicare | $8.31 |
| Beacon Exchange | Beacon Exchange | $9.32 |
| Tricare | Tricare | $9.61 |
| Beacon Commercial | Beacon Commercial | $10.10 |
| Aetna HP Network | Aetna HP Network | $13.52 |
| Aetna | Aetna | $15.00 |
| Aetna Employee | Aetna Employee | $15.00 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $19.50 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $22.92 |
| Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc | $25.64 |
| Magnacare Preferred | Magnacare Preferred | $30.69 |
| Mvp Exchange | Mvp Exchange | $33.63 |
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $37.50 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $59.40 |
| Cdphp | Cdphp | $62.50 |
| Oxford Exchange | Oxford Exchange | $62.50 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $62.50 |
| Mvp HMO/PPO | Mvp HMO/PPO | $65.39 |
| Blue Cross Small Group | Blue Cross Small Group | $71.33 |
| Blue Cross HMO | Blue Cross HMO | $73.30 |
| Cigna PPO | Cigna PPO | $87.50 |
| Magnacare Standard | Magnacare Standard | $87.50 |
| Oxford Commercial | Oxford Commercial | $87.50 |
Inpatient
$125cash price (self-pay)
$125list price
$37.50–$87.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $37.50 |
| Cdphp | Cdphp | $62.50 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $62.50 |
| Magnacare Standard | Magnacare Standard | $87.50 |
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