Blood test, hemoglobin
Facility: Johnson Memorial Hospital
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $13
- Cash Discount Price: $12
- vs. Medicare Baseline: 5.49x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $2.37 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 549% of the Medicare baseline (a markup of 449%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cca Senior Care Options | $2 - $7,245 | 84% |
| Aetna | $2 - $7,103 | 84% |
| Blue Cross Blue Shield | $2 - $7,103 | 84% |
| Medicare (plans) | $2 - $7,465 | 84% |
| UnitedHealthcare | $2 - $7,103 | 84% |
| Geha | $2 | 84% |
| Harvard Pilgrim Healthcare | $2 | 84% |
| Cigna | $2 - $7,316 | 84% |
| Centivo | $3 - $16,887 | 127% |
| Fallon Health | $3 - $9,422 | 127% |
| Connecticare | $4 | 169% |
| Pre-Employment | $5 - $6,585 | 211% |
| Luminare Health | $5 | 211% |
| Blue Benefit Administrators of Massachusetts | $5 - $6,585 | 211% |
| Gravie Admin Services | $5 | 211% |
| Bcn Domestic | $5 - $6,585 | 211% |
| Allied Benefit Systems | $5 | 211% |
| Diversified Administrators | $5 - $15,220 | 211% |
| Webtpa | $5 | 211% |
| Blue Shield - Id (Regence) | $5 - $6,585 | 211% |
| Health Choices | $5 - $6,585 | 211% |
| Hap | $5 | 211% |
| 1199 National Benefit Fund | $5 | 211% |
| Blue Shield - PA (Highmark) | $5 - $6,585 | 211% |
| Blue Shield - Wa (Regence) | $5 - $6,585 | 211% |
| Blue Shield - Ny Highmark Western | $5 - $6,585 | 211% |
| Claimdoc | $5 - $15,220 | 211% |
| Innovative Health Plan II | $5 - $15,220 | 211% |
| Wellpoint | $5 - $6,585 | 211% |
| Meritain | $5 | 211% |
| Blue Distinction Transplant | $5 - $6,585 | 211% |
| Kaiser Domestic | $5 - $6,585 | 211% |
| Wc Domestic | $5 - $6,585 | 211% |
| Connecticut Dept of Correction | $5 - $6,694 | 211% |
| Blue Shield - Ca | $5 - $6,585 | 211% |
| Blue Shield - Ny Highmark Northeastern | $5 - $6,585 | 211% |
| Nippon Life Ins | $5 | 211% |
| Blue Care Network | $5 - $6,585 | 211% |
| Unicare | $5 - $6,585 | 211% |
| Health New England | $10 - $14 | 422% |
| Health Partners | $13 | 549% |
| Prime Health Services | $13 - $18 | 549% |
| Trinity Health Share | $13 - $18 | 549% |
| Asrm - Reliance Standard Life Insurance | $13 - $18 | 549% |
| International Benefit Administrators | $13 - $18 | 549% |
| Mvp | $13 - $18 | 549% |
| Manhattan Life | $13 - $18 | 549% |
| Christian Care Ministry | $13 - $18 | 549% |
| Magnacare | $13 | 549% |
| Pai | $13 - $18 | 549% |
| Allied National Global Care | $13 - $18 | 549% |
| Family Life Insurance Company | $13 - $18 | 549% |
| Dean Health | $13 - $18 | 549% |
| Medi Share | $13 - $18 | 549% |
| Ghc Scw | $13 - $18 | 549% |
| Lifetime Benefit Solutions | $13 - $18 | 549% |
| Pan-American Life | $13 - $18 | 549% |
| Paramount HMO | $13 - $18 | 549% |
| PHCS | $13 - $18 | 549% |
| Allegiance | $13 | 549% |
| Multiplan | $13 - $18 | 549% |
| Health Smart | $14 - $19 | 591% |
| United Behavioral Health Eap | $16 - $22 | 675% |