Complete blood count (CBC) at WellSpan Good Samaritan Hospital. CPT 85025.
What WellSpan Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$15.00cash price (self-pay)
$74.00list price
$7.50–$522range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $7.50 |
| Geisinger_Medicaid | All_Plans | $7.50 |
| Health_Partners_Medicaid | All_Other_Plans | $7.50 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $7.50 |
| UPMC_Medicaid | All_Plans | $7.50 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $7.77 |
| Highmark_Medicare | All_Plans | $7.85 |
| Aetna_Advantra_Medicare | All_Plans | $8.00 |
| Aetna_Medicare | All_Plans | $8.00 |
| Geisinger_Gold_Medicare | All_Plans | $8.16 |
| Devoted_Medicare | All_Plans | $8.16 |
| United_Medicare | ISNP_DSNP_Plans | $8.16 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $8.19 |
| Amerihealth_Medicare | All_Plans | $8.20 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $8.20 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $8.20 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $8.39 |
| PA_Health_&_Wellness_Medicare | All_Plans | $8.39 |
| Amerihealth_Caritas_Medicaid | All_Plans | $8.52 |
| Blue_Cross | Capital_Blue_Performance_PPO | $11.35 |
| Highmark | Higmark_Healthy_Kids | $12.04 |
| Health_Partners_Medicaid | Kidz_Partners | $12.82 |
| United_Medicaid | Community_Plan_For_Kids | $13.60 |
| WellSpan_Capital_Blue_Cross | All_Plans | $15.00 |
| Aetna_Better_Health_Kids | All_Plans | $20.40 |
| United_Healthcare | All_Plans | $23.31 |
| Highmark | Choice_Blue_PPO | $23.50 |
| Highmark | Performance_Blue | $23.50 |
| Highmark | Blue_Cross_High_Performance_Network | $23.50 |
| Highmark | All_Other_Plans | $28.32 |
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