Complete blood count (CBC) at Essentia Health St. Mary's Hospital-Superior. CPT 85025.
What Essentia Health St. Mary's Hospital-Superior publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$122cash price (self-pay)
$165list price
$7.77–$149range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Med Care | Medicaid | $7.77 |
| Advocare/Security Health | Medicare | $30.28 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $30.28 |
| Freedom Blue PPO | Medicare | $30.28 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $30.28 |
| IMCARE MSHO PCC PRIME | Medicare | $30.28 |
| IMCARE MSHO REF REQ | Medicare | $30.28 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $30.28 |
| MEDICA MSHO/Dual Solutions | Medicare | $30.28 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $30.28 |
| MEDICARE ADV PFFS | Medicare | $30.28 |
| Medica Uplan | Commercial | $30.28 |
| ND VA ADMINISTRATION | Medicare | $30.28 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $30.28 |
| PRIMEWEST MSHO | Medicare | $30.28 |
| Platinum Blue/Vantage Blue | Medicare | $30.28 |
| SECURE BLUE MSHO | Medicare | $30.28 |
| SECURITY HEALTH MEDICARE | Medicare | $30.28 |
| UBH COST PLAN | Medicare | $30.28 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $30.28 |
| UBH MSHO | Medicare | $30.28 |
| UCARE MSHO | Medicare | $30.28 |
| UHC MEDICARE ADVANTAGE | Medicare | $30.28 |
| Sanford HealthPlan | Commercial | $48.55 |
| Sanford HealthPlan | Commercial-NDPERS | $48.55 |
| BCBS MN | Medicaid | $63.34 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $63.34 |
| HealthPartners CARE PMAP | Medicaid | $66.33 |
| Medica Access | Medicaid | $66.33 |
| HealthPartners | SHP | $112 |
Inpatient
$122cash price (self-pay)
$165list price
$66.33–$149range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $66.33 |
| Sanford HealthPlan | Commercial-NDPERS | $70.77 |
| Sanford HealthPlan | Commercial | $74.50 |
| BCBS MN | Medicaid | $90.75 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $90.75 |
| Medica Access | Medicaid | $104 |
| Ucare | Commercial | $109 |
| BCBS Mn | Shp | $109 |
| HealthPartners | SHP | $115 |
| MN BCBS Commercial | BCBS MN | $116 |
| Medica | Commercial-FI | $116 |
| WEA | Commercial-Narrow Network | $119 |
| Medica | Commercial-SI | $122 |
| BCBS WI | Commercial | $127 |
| Security Health | Commercial | $127 |
| WEA | Commercial | $127 |
| America's PPO | Commercial | $128 |
| Medica | IFB ACO | $129 |
| Cigna | Commercial | $132 |
| HealthPartners PCC Prime | Commercial | $132 |
| HealthPartners | Commercial | $132 |
| Medica Choice | Commercial | $133 |
| WPS | Commercial | $137 |
| Aetna First Health | Commercial | $140 |
| HealthEOS | Commercial | $142 |
| UHC | Commercial | $149 |
| UMR | Commercial | $149 |
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All common services at Essentia Health St. Mary's Hospital-Superior