Complete blood count (CBC) at Samaritan Lebanon Community Hospital. CPT 85025.
What Samaritan Lebanon Community Hospital publishes for this service, straight from its standard-charges file, last updated January 31, 2026.
Outpatient / ER
$15.20cash price (self-pay)
$19.00list price
$7.77–$97.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthnet | Nonfacility | $8.16 |
| Healthnet | Facility | $8.16 |
| Providence | Medicare Adv. - Physician | $8.55 |
| First Choice | Nonfacility | $8.55 |
| First Choice | Facility | $8.55 |
| Devoted Health | Devoted Health Mcr Advantage | $8.94 |
| DEVOTED HEALTH | Medicare Advantage-NONFAC | $8.94 |
| Devoted Health | Medicare Advantage - Midlevel - Fac | $8.94 |
| Devoted Health | Medicare Advantage - Midlevel - Nonfac | $8.94 |
| DEVOTED HEALTH | Medicare Advantage-FAC | $8.94 |
| Healthnet | Medicare Advantage - Midlevel - Nonfac | $8.94 |
| Healthnet | Medicare Advantage - Nonfac | $8.94 |
| Cigna | Facility | $9.32 |
| Cigna | Nonfacility | $9.32 |
| Aetna | Nonfac - Midlevel Lcsw/Lpc/Rdn | $11.66 |
| Aetna | Fac - Psychiatric Np | $11.66 |
| Aetna | Nonfac - Optometrists - Pyschologists- Pt-St-Ot | $11.66 |
| Aetna | Fac - Midlevel Lcsw/Lpc/Rdn | $11.66 |
| Aetna | Nonfac - Midlevel Np-Pa-Cnm | $11.66 |
| Aetna | Nonfac - Md-Do | $11.66 |
| Aetna | Fac - Optometrists - Pyschologists- Pt-St-Ot | $11.66 |
| Aetna | Nonfac - Psychiatric Np | $11.66 |
| Aetna | Fac - Md-Do | $11.66 |
| Aetna | Fac - Midlevel Np-Pa-Cnm | $11.66 |
| Providence | Medicare Adv. | $29.00 |
| Providence | MA-Behavioral Health | $29.00 |
| Samaritan | Medicare Adv. | $29.29 |
| Healthnet | Medicare Adv. | $31.90 |
| Regence | Medicare Adv. | $31.90 |
| Pacificsource | Medicare Adv. | $32.48 |
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