Complete blood count (CBC) at Intermountain Health Logan Regional Hospital. CPT 85025.
What Intermountain Health Logan Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$58.30cash price (self-pay)
$77.73list price
$6.60–$74.62range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $7.77 |
| SelectHealth | Medicaid | $7.77 |
| Aetna | Medicare Adv HMO | $7.77 |
| Aetna | Medicare Adv PPO | $7.77 |
| American Health | Medicare Adv UT HMO I-SNP | $7.77 |
| Health Partners of Nevada | Medicare Advantage | $7.77 |
| Intermountain Caregiver Plan | Med Network | $32.96 |
| Intermountain Caregiver Plan | Share Network | $32.96 |
| SelectHealth | SelectCare | $34.98 |
| SelectHealth | CHP | $35.44 |
| SelectHealth | Commercial | $35.44 |
| SelectHealth | FEHBP | $35.44 |
| SelectHealth | SM Individual ACA | $35.44 |
| SelectHealth | SelectShare | $35.44 |
| SelectHealth | SelectValue | $35.44 |
| SelectHealth | Signature Individual ACA | $35.44 |
| EMI | Commercial | $53.94 |
| Deseret Mutual | All Other | $54.10 |
| Deseret Mutual | Select | $54.10 |
| Campbell Scientific | Commercial | $54.41 |
| Franklin County | Commercial | $54.41 |
| Juniper Systems | Commercial | $54.41 |
| LW Miller | Commercial | $54.41 |
| iFIT | Commercial | $54.41 |
| UHC | Charter | $55.97 |
| Regence BCBS | BlueOption | $59.46 |
| AWH Connected | Connected Utah | $60.47 |
| PEHP | Advantage Non-State | $62.18 |
| PEHP | Advantage State | $62.18 |
| PEHP | Capital Care | $62.18 |
Inpatient
$58.30cash price (self-pay)
$77.73list price
$1.63–$73.84range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $1.63 |
| Health Plan of Nevada | Medicaid | $23.32 |
| Intermountain Caregiver Plan | Med Network | $32.96 |
| Intermountain Caregiver Plan | Share Network | $32.96 |
| Campbell Scientific | Commercial | $54.41 |
| Franklin County | Commercial | $54.41 |
| Juniper Systems | Commercial | $54.41 |
| LW Miller | Commercial | $54.41 |
| CorVel Corporation | Workers Comp | $58.30 |
| Corporation of the President | Workers Comp | $58.30 |
| Injury Care of Nevada | Workers Comp | $58.30 |
| AG Administrators | USU Athletics | $66.07 |
| Altius MHNet Behavioral Health | Behavioral Health | $66.07 |
| BYU Athletics | Commercial | $66.07 |
| BYU Risk Management | Workers Comp | $66.07 |
| Cigna | Open Access Flex | $66.07 |
| Global Excel | Commercial | $66.07 |
| MedCare International | Commercial | $66.07 |
| AWH Connected | Connected Utah | $66.30 |
| Deseret Mutual | All Other | $66.30 |
| Deseret Mutual | Select | $66.30 |
| EMI Health | Mint | $66.30 |
| EMI Health | Network Care | $66.30 |
| EMI | Commercial | $66.30 |
| Managed Care Admin | Commercial | $66.30 |
| PEHP | Advantage Non-State | $66.30 |
| PEHP | Advantage State | $66.30 |
| PEHP | Capital Care | $66.30 |
| Aetna | Connected | $73.84 |
| Aetna | Extended | $73.84 |
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All common services at Intermountain Health Logan Regional Hospital