Complete blood count (CBC) at St. Luke's Health - Springwoods Village Hospital. CPT 85025.

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

Outpatient / ER

$93.80cash price (self-pay)

$268list price

$5.59–$268range insurers pay

Insurance plan	Negotiated rate
Renaissance \| Commercial\|All Plans	$5.59
Montgomery Hospital District \| Commercial\|All Plans	$6.53
TCHP \| Medicaid\|STARKIDS	$6.53
UHC \| Medicaid\|CHIP	$6.66
BCBS \| Medicaid\|All Plans	$6.86
CHC \| Medicaid\|All Other Plans	$7.51
KelseyCare \| Commercial\|Exchange	$10.49
BCBS-TX \| Commercial\|MyBlue Health Exchange	$11.34
Cigna \| Commercial\|All Other Plans	$11.65
Community Health Choice \| Commercial\|Exchange	$11.65
Superior Health Plan \| Commercial\|All Plans	$11.65
Bright Health \| Commercial\|All Plans	$12.82
United \| Commercial\|Exchange	$14.39
United \| Commercial\|HMO	$14.39
United \| Commercial\|PPO	$14.39
BCBS-TX \| Commercial\|Exchange	$14.76
Cigna \| Commercial\|Surefit	$18.17
Cigna \| Commercial\|HMO	$20.04
NXHealth \| Commercial\|All Plans	$25.25
BCBS-TX \| Commercial\|Blue Premier	$25.33
Cigna \| Commercial\|PPO	$27.42
BCBS-TX \| Commercial\|HMO	$34.03
BCBS-TX \| Commercial\|PPO	$39.86
TCHPCHIP \| Medicaid\|HMO	$93.80
OPTUM \| Medicaid\|STAR	$96.97
United \| Commercial\|Optum	$126
CHC \| Medicaid\|CHIP	$147
CHC \| Medicaid\|HMO	$147
TEXASTRUECHOICE \| Medicaid\|CHIP	$147
Aetna-Kelsey Care \| Commercial\|HMO	$158

Inpatient

$93.80cash price (self-pay)

$268list price

$115–$268range insurers pay

Insurance plan	Negotiated rate
TCHPCHIP \| Medicaid\|HMO	$115
CHC \| Medicaid\|CHIP	$147
CHC \| Medicaid\|HMO	$147
TEXASTRUECHOICE \| Medicaid\|CHIP	$147
Coventry \| Commercial\|PPO	$174
First Health \| Commercial\|All Plans	$174
Cigna \| Commercial\|Transplant	$188
Healthsmart \| Commercial\|PPO	$188
Interlink \| Commercial\|Transplant	$188
MultiPlan \| Commercial\|All Plans	$201
USA Health Network \| Commercial\|All Plans	$228
MHealth Network \| Commercial\|PPO	$268

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All common services at St. Luke's Health - Springwoods Village Hospital