Complete blood count (CBC) at Intermountain Health Park City Hospital. CPT 85025.
What Intermountain Health Park City 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
$6.42–$69.96range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $7.77 |
| Intermountain Cargiver Plan | Med Network | $32.96 |
| AG Administrators | USU Athletics | $67.63 |
| BYU Athletics | Commercial | $67.63 |
| Campbell Scientific | Commercial | $67.63 |
| EMI Health | Mint | $67.63 |
| EMI Health | Network Care | $67.63 |
| Franklin County | Commercial | $67.63 |
| Juniper Systems | Commercial | $67.63 |
| LW Miller | Commercial | $67.63 |
| Managed Care Admin | Commercial | $67.63 |
| MotivHealth | Commercial | $67.63 |
| Prodegi Corp Benefit | Commercial | $67.63 |
| Tanner LLC | Commercial | $67.63 |
| Utah Tech | Commercial | $67.63 |
| Wise Network | Commercial | $67.63 |
| iFIT | Commercial | $67.63 |
| Aetna | Standard | $68.79 |
| Cigna | HMO | $68.79 |
| Cigna | PPO/EPO | $68.79 |
| Deseret Mutual | All Other | $68.79 |
| Deseret Mutual | Select | $68.79 |
| EMI | Commercial | $68.79 |
| PEHP | All Plans | $68.79 |
| PEHP | Capital Care | $68.79 |
| PEHP | Summit Exclusive | $68.79 |
| Regence BCBS | BlueOption | $68.79 |
| SelectHealth | CHP | $68.79 |
| SelectHealth | Commercial | $68.79 |
| SelectHealth | FEHBP | $68.79 |
Inpatient
$58.30cash price (self-pay)
$77.73list price
$2.10–$69.96range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $2.10 |
| Intermountain Cargiver Plan | Med Network | $32.96 |
| CorVel Corporation | Workers Comp | $58.30 |
| Corporation of the President | Workers Comp | $58.30 |
| Injury Care of Nevada | Workers Comp | $58.30 |
| BYU Risk Management | Workers Comp | $66.07 |
| Cigna | Open Access Flex | $66.07 |
| Global Excel | Commercial | $66.07 |
| MedCare International | Commercial | $66.07 |
| Molina | CHIP | $66.07 |
| Molina | Marketplace | $66.07 |
| AG Administrators | USU Athletics | $67.63 |
| Aetna | Connected | $67.63 |
| Aetna | Extended | $67.63 |
| BYU Athletics | Commercial | $67.63 |
| Campbell Scientific | Commercial | $67.63 |
| EMI Health | Mint | $67.63 |
| EMI Health | Network Care | $67.63 |
| Franklin County | Commercial | $67.63 |
| Juniper Systems | Commercial | $67.63 |
| LW Miller | Commercial | $67.63 |
| Managed Care Admin | Commercial | $67.63 |
| MotivHealth | Commercial | $67.63 |
| AWH Connected | Connected Utah | $68.79 |
| Aetna | Standard | $68.79 |
| Cigna | HMO | $68.79 |
| Cigna | PPO/EPO | $68.79 |
| Deseret Mutual | All Other | $68.79 |
| Deseret Mutual | Select | $68.79 |
| EMI | Commercial | $68.79 |
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All common services at Intermountain Health Park City Hospital