Complete blood count (CBC) at Pennsylvania Hospital. CPT 85025.
What Pennsylvania Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$263cash price (self-pay)
$263list price
$4.66–$263range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Medical Assistance | Medicaid | $6.00 |
| Managed Medicaid Other | Managed Medicaid Other | $6.00 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $6.90 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $7.68 |
| Philadelphia VA Medical Center | VA Medical Center | $7.77 |
| UPMC | UPMC Medicare | $7.77 |
| Medicare | Medicare | $7.77 |
| Managed Medicare Other | Managed Medicare Other | $7.77 |
| PENN LIFE (Living Independently For Elders) | PENN LIFE | $8.16 |
| PA Health and Wellness | PA Health and Wellness Medicare | $8.16 |
| United Healthcare | United Healthcare Medicare Advantage | $8.24 |
| US Family Health Plan | US Family Health Plan | $8.47 |
| TriCare | TriCare | $8.47 |
| UPMC | UPMC Medicaid | $10.20 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $11.82 |
| PA Health and Wellness | PA Health and Wellness Commercial | $12.82 |
| Oscar Health Plan | Oscar Health Plan | $13.21 |
| Independence Blue Cross/Personal Choice | Personal Choice-IBC PPO | $23.88 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $32.61 |
| Optum/URN | Optum URN-Transplant Commercial | $38.85 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $46.29 |
| UnitedHealthcare | UnitedHealthcare Compass Exchange | $53.89 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $60.49 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $68.38 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $92.05 |
| Qualcare | Qualcare | $99.94 |
| Wissahickon Hospice | Wissahickon Hospice | $105 |
| Pgm - Chop | Pgm - Chop | $105 |
| Olympus | Olympus | $128 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $132 |
Inpatient
$263cash price (self-pay)
$263list price
$44.45–$263range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $44.45 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $60.49 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $68.38 |
| Devon | Devon Premier | $99.94 |
| Pgm - Chop | Pgm - Chop | $105 |
| Coventry | HealthAmerica/Coventry SEPA | $105 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $118 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $129 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $132 |
| First Health Global | First Health Global | $132 |
| Coventry | Coventry of Delaware | $134 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $158 |
| Health Net | Health Net | $158 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $171 |
| Preferred Care | Preferred Care | $210 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $210 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $210 |
| Intergroup | Intergroup | $210 |
| Humana Choice Care | Humana Choice Care | $210 |
| Health America/CCN | First Health/ Coventry National | $210 |
| Devon Health Services Inc | Devon Health Services | $210 |
| UPMC | UPMC Medicaid | $263 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $263 |
| United Behavioral Health | United Behavioral Health | $263 |
| Quest Behavioral Health | Quest Behavioral Health | $263 |
| Managed Medicaid Other | Managed Medicaid Other | $263 |
| International PFS | International PFS | $263 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $263 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $263 |
| Health Partners | Health Partners Medicaid | $263 |
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