CMS Price Transparency Data

Blood test, hemoglobin

Facility: St Francis Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $34
Cash Discount Price: $29
vs. Medicare Baseline: 14.35x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at St Francis Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 14.35x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)

Cash / Self-Pay: $29 (1224%)

Insurance Median: $34 (1435%)

Cash: $29 (1224% of Medicare)

Ins. Median: $34 (1435% of 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 1435% of the Medicare baseline (a markup of 1335%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Illinois Breast and Cervical Cancer Program	$2	84%
Wexford	$6	253%
Molina Healthcare	$6 - $40	253%
Meridian Health Plan	$7	295%
Blue Cross Blue Shield	$8 - $40	338%
Clear Spring Health of Illinois	$8 - $40	338%
Humana	$8 - $40	338%
UnitedHealthcare	$9 - $40	380%
Aetna	$9 - $40	380%
Amish Community	$11	464%
Celtic Insurance Company	$20 - $88	844%
Claim Doc	$21 - $100	886%
Hopetrust	$23 - $100	970%
Wellfirst	$26	1097%
First Health	$30	1266%
Caterpillar, Inc.	$32	1350%
Cigna	$32	1350%
Healthlink	$34	1435%
Multiplan/Phcs	$34	1435%
Consociate Group	$34	1435%
Current Health Solutions	$34	1435%
Healthcare Finest Network (Hfn)	$36	1519%
Provider Network of America	$36	1519%
Health Alliance Medical Plans	$40	1688%
Live360	$40	1688%
Naphcare	$40	1688%
Healthscope	$40	1688%
Interplan	$40	1688%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $29.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.