Complete blood count (CBC) at HSHS St. Nicholas Hospital. CPT 85025.
What HSHS St. Nicholas Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$59.40cash price (self-pay)
$90.00list price
$7.77–$203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $7.77 |
| Anthem | Anthem Medicare Advantage HMO | $7.77 |
| Humana | Humana Medicare Advantage | $7.77 |
| Medica | Medica Medicare Advantage | $7.77 |
| Medicare Managed | Managed Medicare No Sequestration | $7.77 |
| Molina Healthcare | Molina Medicare | $7.77 |
| Anthem | Antehm Medicaid | $8.03 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $8.03 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $8.03 |
| Managed Health Services | Managed Health Services Medicaid | $8.03 |
| Meridian Health Plan | Meridian HMO Mcd | $8.03 |
| Molina Healthcare | Molina Medicaid | $8.51 |
| Prevea Health Network | Prevea360 | $9.32 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $10.10 |
| Prevea Health Network | Prevea Employees | $10.10 |
| Prevea Health Network | Prevea360 - Network | $10.10 |
| Humana | All Commercial Humana Hpn Choicecare | $13.21 |
| Humana | Humana Choice Care HMO | $13.21 |
| Humana | Humana Natiional POS HMO | $13.21 |
| Anthem | Anthem POS/HMO | $27.20 |
| Anthem | Anthem PPO | $27.20 |
| Hshs Employees | Hshs Employees | $43.74 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $45.00 |
| Arise Health Plan | All Commercial Arise Health Plan | $54.00 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $57.45 |
| Cigna | All Commercial Cigna | $63.00 |
| Interplan | All Commercial Interplan Health Group | $63.00 |
| Health Eos | All Commercial Health Eos | $67.50 |
| Healthsmart | All Commercial Healthsmart | $67.50 |
| Network Health Plan | All Commerical Network Health Plan | $67.50 |
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