Complete blood count (CBC) at St. Luke's Health Memorial San Augustine. CPT 85025.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$3.45cash price (self-pay)

$359list price

$4.14–$396range insurers pay

Insurance plan	Negotiated rate
TCHP \| Medicaid\|All Plans	$6.53
AETNA \| Medicare\|All Plans	$7.77
HUMANA \| Medicare\|All Plans	$7.77
Wellpoint \| Medicare\|All Plans	$8.00
BCBS \| Medicare\|All Plans	$8.16
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$8.16
UNITED \| Medicare\|All Plans	$8.16
CIGNA HEALTHSPRING \| Medicare\|PPO	$8.24
SCANHealth \| Medicare\|All Plans	$8.31
MD Save \| Commercial\|All Plans	$9.71
SUPERIOR \| Medicaid\|All Other Plans	$10.64
SUPERIOR \| Medicaid\|STARPLUS	$10.64
UNITED \| Medicaid\|All Other Plans	$10.64
UNITED \| Medicaid\|CHIP	$10.64
UNITED \| Medicaid\|STAR	$10.64
UNITED \| Medicaid\|STARKIDS	$10.64
Wellpoint \| Medicaid\|All Other Plans	$10.64
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$10.85
Wellpoint \| Medicaid\|STARPLUS	$10.96
BCBS \| Medicaid\|All Plans	$11.17
Wellpoint \| Commercial\|Exchange	$12.24
BCBS-TX \| Commercial\|Blue Advantage HMO	$14.76
SUPERIOR \| Medicaid\|STAR	$16.70
Wellpoint \| Medicaid\|STAR	$16.70
UNITED \| Medicaid\|STARPLUS	$19.05
Entrust \| Commercial\|All Plans	$20.20
Angelina County \| Commercial\|All Plans	$21.21
Brookshire Brothers \| Commercial\|All Plans	$23.31
BCBS-TX \| Commercial\|Blue Premier	$25.64
BCBS-TX \| Commercial\|HMO	$27.20

$3.45cash price (self-pay)

$359list price

$5.75–$440range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$89.76
Humana \| Commercial\|All Plans	$251
Multiplan \| Commercial\|All Plans	$251
PHCS \| Commercial\|All Plans	$287
Galaxy \| Commercial\|All Plans	$323
United \| Commercial\|Exchange	$359

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