Complete blood count (CBC) at Lewisgale Hospital-montgomery. CPT 85025.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$6.76–$36.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriAtlantic | TRICR | $6.76 |
| Health Net | TRICR | $7.16 |
| Humana Military | TRCR | $7.71 |
| United | AllPayerAppendix | $7.77 |
| Devoted | MCR | $7.77 |
| Good Samaritan Hospice | COMM | $7.77 |
| Humana | MCR | $7.77 |
| Sentara Health | MCR | $7.77 |
| United | VACCN | $7.77 |
| United Mine Workers | MCR | $7.77 |
| United | MGMCR | $7.81 |
| Aetna | MGMCR | $7.86 |
| Virginia Premier Health | MGMCR | $7.93 |
| Anthem | MGMCR | $8.00 |
| Cigna HealthSpring | MCR | $8.08 |
| Align Senior Care | MGMCR | $8.31 |
| Pyramid Life | MGMCR | $8.31 |
| Anthem | HIX | $33.23 |
| Anthem | HMO | $36.92 |
| Anthem | PPO | $36.92 |
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