Complete blood count (CBC) at lodi hospital. CPT 85025.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$35.10cash price (self-pay)
$54.00list price
$7.77–$54.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $7.77 |
| OPTUM | Medicare Advantage Transplant | $7.77 |
| OPTUM | Managed Medicaid Transplant | $11.31 |
| Buckeye | Managed Medicaid | $11.90 |
| CARESOURCE | Managed Medicaid | $11.90 |
| ANTHEM | Managed Medicaid | $12.50 |
| MOLINA | Managed Medicaid | $12.50 |
| AMERIHEALTH | Managed Medicaid | $13.09 |
| Oscar | All Products | $15.27 |
| HUMANA | Medicare Advantage HMO | $16.20 |
| MMO | Medicare Advantage HMO & PPO | $16.20 |
| Aetna | Medicare Advantage | $17.28 |
| Php | All Products | $17.28 |
| Phphi | All Products | $17.28 |
| Summacare | MEDICARE ADVANTAGE | $17.28 |
| Amish Community Aid Plan | ALL PRODUCTS | $24.30 |
| Aultcare | PPO/HMO | $25.97 |
| Ohcp | All Products | $26.24 |
| Omas | All Products | $27.00 |
| Mmo | Traditional | $28.13 |
| Ohio Healthy | TRANSPLANT | $29.16 |
| OPTUM | All Products Transplant | $30.56 |
| AETNA | Acop | $30.67 |
| Summacare | Preferred | $31.10 |
| Anthem | Hpn | $32.69 |
| Summacare | PREMIER | $33.80 |
| Cigna | All Products | $34.29 |
| Anthem | Traditional | $35.77 |
| Cc Ehp | All Products | $36.29 |
| AETNA | Asa_Whirlpool_Peia | $37.10 |
Inpatient
$35.10cash price (self-pay)
$54.00list price
$15.27–$54.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $19.49 |
| Amish Community Aid Plan | ALL PRODUCTS | $27.00 |
| Anthem | Hpn | $29.48 |
| Anthem | PPO/HMO | $34.69 |
| Anthem | Traditional | $36.48 |
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