Complete blood count (CBC) at Intermountain Health Spanish Fork Hospital. CPT 85025.
What Intermountain Health Spanish Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$68.59cash price (self-pay)
$91.45list price
$6.92–$82.30range 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 |
| Healthy U | Medicaid | $7.77 |
| Humana | Medicare Choice PPO | $7.77 |
| Molina | Medicare Advantage | $7.77 |
| Molina | Medicare Complete Care HMO SNP | $7.77 |
| SelectHealth | Signature Individual ACA | $8.10 |
| SelectHealth | Value Individual ACA | $8.10 |
| SelectHealth | Med Individual ACA | $8.88 |
| Intermountain Caregiver Plan | Share Network | $38.77 |
| SelectHealth | FEHBP | $38.77 |
| SelectHealth | SelectShare | $38.77 |
| SelectHealth | SelectValue | $38.77 |
| Intermountain Caregiver Plan | CHP | $42.04 |
| Intermountain Caregiver Plan | Med Network | $42.04 |
| SelectHealth | SelectMed/CHIP | $42.04 |
| SelectHealth | SelectCare | $43.14 |
| EMI | Commercial | $49.38 |
| Deseret Mutual | Commercial | $52.58 |
| Deseret Mutual | Connected Utah | $52.58 |
| Regence BCBS | BlueOption | $56.47 |
| AWH Connected | Connected Utah | $58.99 |
| EMI Health | Mint | $63.47 |
| EMI Health | Network Care | $63.47 |
| PEHP | Advantage State | $63.65 |
| PEHP | Advantage Non-State | $64.93 |
Inpatient
$68.59cash price (self-pay)
$91.45list price
$5.94–$82.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $5.94 |
| SelectHealth | Med Individual ACA | $27.25 |
| Health Plan of Nevada | Medicaid | $27.44 |
| Intermountain Caregiver Plan | Share Network | $38.77 |
| SelectHealth | FEHBP | $38.77 |
| Intermountain Caregiver Plan | CHP | $44.08 |
| Intermountain Caregiver Plan | Med Network | $44.08 |
| EMI | Commercial | $49.38 |
| Deseret Mutual | Commercial | $52.58 |
| Deseret Mutual | Connected Utah | $52.58 |
| Regence BCBS | BlueOption | $56.47 |
| Cigna | Open Access Flex | $57.61 |
| AWH Connected | Connected Utah | $58.07 |
| EMI Health | Mint | $63.47 |
| EMI Health | Network Care | $63.47 |
| PEHP | Advantage State | $63.65 |
| BYU Risk Management | Workers Comp | $64.02 |
| Corporation of the President | Workers Comp | $64.02 |
| Regence BCBS | High Performance | $64.02 |
| Regence BCBS | FEHBP | $64.47 |
| PEHP | Advantage Non-State | $64.93 |
| BYU Athletics | Commercial | $65.84 |
| Campbell Scientific | Commercial | $65.84 |
| CorVel Corporation | Workers Comp | $65.84 |
| Franklin County | Commercial | $65.84 |
| Juniper Systems | Commercial | $65.84 |
| LW Miller | Commercial | $65.84 |
| Injury Care of Nevada | Workers Comp | $68.59 |
| Regence BCBS | Traditional | $69.50 |
| Managed Care Admin | Commercial | $71.33 |
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All common services at Intermountain Health Spanish Fork Hospital