Complete blood count (CBC) at Froedtert Holy Family Memorial Hospital. CPT 85025.
What Froedtert Holy Family Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$31.35cash price (self-pay)
$57.00list price
$7.77–$50.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $7.77 |
| Community Care Incorporated | Medicare Advantage | $7.77 |
| Health Partners | Medicare Advantage | $7.77 |
| Humana | Medicare Advantage | $7.77 |
| ICare | Medicare Advantage | $7.77 |
| Molina | Medicare Advantage | $7.77 |
| Network Health Plan | Medicare Advantage | $7.77 |
| Security Health Plan | Medicare Advantage | $7.77 |
| United Healthcare | Medicare Advantage | $7.77 |
| Allwell | Medicare Advantage | $7.93 |
| Molina | Marketplace Plans | $8.39 |
| Network Health Plan | HMO | $9.32 |
| United Healthcare | Manitowoc Schools | $9.32 |
| United Healthcare | Nexus | $9.32 |
| United Healthcare Choice/Navigate | APA | $9.32 |
| United Healthcare Options | PPO | $9.32 |
| Anthem Blue Cross Blue Shield (Healthlink) | HMO/PPO | $10.10 |
| Medical College of Wisconsin | Employee Plan | $18.81 |
| Health Payment Systems | All Contracted Commercial Plans | $19.43 |
| Chorus Community Health Plan | Marketplace Plans | $22.27 |
| Centivo | WI 2 Median | $22.80 |
| Centivo | WI 1 Broad | $26.22 |
| Dean Health Plan | All Plans | $28.50 |
| Network Health Plan | ACA | $31.35 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $34.20 |
| Health Partners | All Contracted Commercial Plans | $37.05 |
| Trilogy | All Contracted Commercial Plans | $37.62 |
| Cigna | All Contracted Commercial Plans | $41.04 |
| WPS Health Plan | All Contracted Commercial Plans | $42.18 |
| Aspirus | Marketplace Plans | $45.60 |
Inpatient
$31.35cash price (self-pay)
$57.00list price
$34.20–$50.16range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $34.20 |
| Trilogy | All Contracted Commercial Plans | $37.62 |
| Cigna | All Contracted Commercial Plans | $41.04 |
| Aspirus | Marketplace Plans | $45.60 |
| HealthEos | All Contracted Commercial Plans | $45.60 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $45.60 |
| Preferred One | All Contracted Commercial Plans | $45.60 |
| Security Health Plan | All Contracted Commercial Plans | $45.60 |
| HealthSmart | All Contracted Commercial Plans | $47.31 |
| First Health Network | All Contracted Commercial Plans | $50.16 |
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All common services at Froedtert Holy Family Memorial Hospital