Complete blood count (CBC) at SSM Health St. Agnes Hospital - Fond du Lac. CPT 85025.
What SSM Health St. Agnes Hospital - Fond du Lac publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$75.35cash price (self-pay)
$137list price
$5.83–$15.72range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MOLINA | Medicare Managed Care Plan | $5.83 |
| BCBS | Anthem Medicare Managed Care Plan | $7.77 |
| UnitedHealthCare | All Commercial Plans | $7.77 |
| Wellcare | Medicare Managed Care Plan | $7.93 |
| Centivo | Broad(WI1) Other Commercial Plan | $9.71 |
| Centivo | Median(WI2) Other Commercial Plan | $9.71 |
| Centivo | Value(WI3) Other Commercial Plan | $9.71 |
| The Alliance | All Commercial Plans | $13.60 |
| DOC | Government | $15.00 |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $15.72 |
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All common services at SSM Health St. Agnes Hospital - Fond du Lac