Complete blood count (CBC) at Holy Cross Hospital - Davis. CPT 85025.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$138cash price (self-pay)
$344list price
$5.36–$344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $5.36 |
| Managed Medicaid | Managed Medicaid | $6.60 |
| UUHP | Managed Medicaid | $6.60 |
| Regence Blue Cross Blue Shield | Commercial UVU | $6.60 |
| Cigna Healthcare | Commercial Local Plus | $6.64 |
| Humana | Managed Medicare | $7.61 |
| Managed Medicare | Managed Medicare | $7.61 |
| Medicare | Medicare | $7.61 |
| Regence Blue Cross Blue Shield | Commercial PAR | $7.77 |
| Regence Blue Cross Blue Shield | Commercial PPO | $7.77 |
| Cigna Healthcare | Commercial HMO/NBP/OAP | $8.12 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $9.56 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $9.77 |
| MotivHealth | Commercial PPO/POS/HMO | $10.10 |
| UUHP | Commercial Health Plus | $10.33 |
| UUHP | Commercial Healthy Preferred | $11.11 |
| UUHP | Commercial Healthy Premier | $12.34 |
| Select Health | Commercial PPO/POS/HMO | $13.50 |
| Molina | Commercial PPO/POS/HMO | $15.84 |
| Cigna Healthcare | Commercial All Other | $21.41 |
| PEHP | Commercial Capital Network | $147 |
| Aetna | Commercial Peak Performance | $152 |
| PEHP | Commercial Summit Exclusive | $163 |
| PEHP | Commercial Summit | $175 |
| Wise | Commercial PPO | $179 |
| Aetna | Commercial Standard Network | $181 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $191 |
| PEHP | Commercial Advantage | $199 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $211 |
| Multiplan | Commercial Primary | $237 |
Inpatient
$138cash price (self-pay)
$344list price
$128–$344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $128 |
| PEHP | Commercial Capital Network | $147 |
| Molina | Commercial PPO/POS/HMO | $148 |
| Aetna | Commercial Peak Performance | $152 |
| Regence Blue Cross Blue Shield | Commercial UVU | $158 |
| PEHP | Commercial Summit Exclusive | $163 |
| Select Health | Commercial PPO/POS/HMO | $169 |
| PEHP | Commercial Summit | $175 |
| Aetna | Commercial Standard Network | $181 |
| Wise | Commercial PPO | $182 |
| Regence Blue Cross Blue Shield | Commercial PPO | $185 |
| PEHP | Commercial Advantage | $199 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $206 |
| Regence Blue Cross Blue Shield | Commercial PAR | $206 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $211 |
| Multiplan | Commercial Primary | $237 |
| Aetna | Commercial Signature | $250 |
| Aetna | Commercial Extended Network | $258 |
| Aetna | Commercial Indemnity | $275 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $291 |
| EMI Health | Commercial PPO/POS/HMO | $299 |
| Multiplan | Commercial Complementary | $313 |
| United Healthcare | Commercial Behavioral Health | $344 |
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