Blood test, hemoglobin
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $10
- Cash Discount Price: $13
- vs. Medicare Baseline: 4.22x 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 422% of the Medicare baseline (a markup of 322%). 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 |
|---|---|---|
| Harvard Pilgrim Healthcare | $2 | 84% |
| Geha | $2 | 84% |
| Blue Cross Blue Shield | $2 - $10 | 84% |
| Medicare (plans) | $2 | 84% |
| Cigna | $2 - $6 | 84% |
| UnitedHealthcare | $2 | 84% |
| Aetna | $2 - $3 | 84% |
| Cca Senior Care Options | $2 | 84% |
| Gravie Admin Services | $3 | 127% |
| Meritain | $3 | 127% |
| Luminare Health | $3 | 127% |
| Hap | $3 | 127% |
| 1199 National Benefit Fund | $3 | 127% |
| Allied Benefit Systems | $3 | 127% |
| Webtpa | $3 | 127% |
| Nippon Life Ins | $3 | 127% |
| Claimdoc | $5 | 211% |
| Diversified Administrators | $5 | 211% |
| Innovative Health Plan II | $5 | 211% |
| Allegiance | $6 | 253% |
| Health Partners | $6 | 253% |
| Magnacare | $6 | 253% |
| Unicare | $10 | 422% |
| Blue Care Network | $10 | 422% |
| Blue Shield - Ca | $10 | 422% |
| Wc Domestic | $10 | 422% |
| Connecticut Dept of Correction | $10 | 422% |
| Blue Benefit Administrators of Massachusetts | $10 | 422% |
| Kaiser Domestic | $10 | 422% |
| Health Choices | $10 | 422% |
| Blue Shield - PA (Highmark) | $10 | 422% |
| Pre-Employment | $10 | 422% |
| Bcn Domestic | $10 | 422% |
| Blue Shield - Wa (Regence) | $10 | 422% |
| Blue Shield - Id (Regence) | $10 | 422% |
| Blue Distinction Transplant | $10 | 422% |
| Blue Shield - Ny Highmark Western | $10 | 422% |
| Blue Shield - Ny Highmark Northeastern | $10 | 422% |
| Health New England | $12 - $13 | 506% |
| Mvp | $15 - $16 | 633% |
| Trinity Health Share | $15 - $16 | 633% |
| Christian Care Ministry | $15 - $16 | 633% |
| Pai | $15 - $16 | 633% |
| International Benefit Administrators | $15 - $16 | 633% |
| Paramount HMO | $15 - $16 | 633% |
| Asrm - Reliance Standard Life Insurance | $15 - $16 | 633% |
| Ghc Scw | $15 - $16 | 633% |
| PHCS | $15 - $16 | 633% |
| Medi Share | $15 - $16 | 633% |
| Family Life Insurance Company | $15 - $16 | 633% |
| Manhattan Life | $15 - $16 | 633% |
| Allied National Global Care | $15 - $16 | 633% |
| Pan-American Life | $15 - $16 | 633% |
| Multiplan | $15 - $16 | 633% |
| Dean Health | $15 - $16 | 633% |
| Lifetime Benefit Solutions | $15 - $16 | 633% |
| Prime Health Services | $18 - $19 | 759% |
| Connecticare | $18 - $22 | 759% |
| Health Smart | $19 - $20 | 802% |