Complete blood count (CBC) at Health Alliance Mary Avenue Hospital. CPT 85025.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$132cash price (self-pay)
$132list price
$5.44–$132range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare | Aetna Medicare | $7.77 |
| Beacon Medicare | Beacon Medicare | $7.77 |
| Blue Cross Medicare | Blue Cross Medicare | $7.77 |
| Cdphp Medicare | Cdphp Medicare | $7.77 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $7.77 |
| Medicare | Medicare | $7.77 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $7.77 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $7.77 |
| Todays Options Medicare | Todays Options Medicare | $7.77 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $7.93 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $8.16 |
| Todays Options | Todays Options | $8.55 |
| Beacon Exchange | Beacon Exchange | $9.32 |
| Beacon Commercial | Beacon Commercial | $10.10 |
| Value Options Comm (Chcs) | Value Options Comm (Chcs) | $11.41 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $11.65 |
| UHC Commercial | UHC Commercial | $11.66 |
| UHC Empire | UHC Empire | $11.66 |
| UHC Exchange | UHC Exchange | $11.66 |
| Aetna Hp Network | Aetna Hp Network | $21.06 |
| Aetna | Aetna | $23.39 |
| Magnacare Preferred | Magnacare Preferred | $30.69 |
| Mvp HMO/PPO | Mvp HMO/PPO | $38.92 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $44.96 |
| Blue Cross Access | Blue Cross Access | $47.92 |
| Blue Cross Small Group | Blue Cross Small Group | $53.93 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $59.95 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $81.84 |
| Mvp Exchange | Mvp Exchange | $85.80 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $89.76 |
Inpatient
$132cash price (self-pay)
$132list price
$92.40–$132range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $92.40 |
| Multiplan | Multiplan | $108 |
| Blue Shield - Health Now | Blue Shield - Health Now | $125 |
| Medigap | Medigap | $132 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $132 |
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