Blood test, hemoglobin
Facility: Mercy St Francis Hospital
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $45
- Cash Discount Price: $33
- vs. Medicare Baseline: 18.99x 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 1899% of the Medicare baseline (a markup of 1799%). 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 |
|---|---|---|
| Medicare (plans) | $2 - $18 | 84% |
| Medicaid / KanCare | $2 - $26 | 84% |
| Blue Cross Blue Shield | $2 - $48 | 84% |
| UnitedHealthcare | $3 - $48 | 127% |
| Aetna | $14 - $44 | 591% |
| Globalhealth Contracted [320145] | $14 - $17 | 591% |
| Kindful Hospice Contracted [320434] | $14 - $17 | 591% |
| Provider Partners Health Plans Contracted [320450] | $14 - $17 | 591% |
| Cigna | $14 - $48 | 591% |
| Mercy Hospice Okc [20252] | $14 - $17 | 591% |
| Cherokee Nation Health Serv Contracted [320066] | $14 - $17 | 591% |
| Qual Choice Contracted [320325] | $14 - $17 | 591% |
| Cross Timbers Hospice [20098] | $14 - $17 | 591% |
| Halo Hcr Inc Hospice [20432] | $14 - $17 | 591% |
| Dept of Veteran Affairs Contracted [320106] | $14 - $17 | 591% |
| Medical Associates Health Contracted [320444] | $14 - $17 | 591% |
| Kindful Hospice [20434] | $14 - $17 | 591% |
| Pace of the Ozarks Contracted [320518] | $14 - $17 | 591% |
| Humana | $14 - $45 | 591% |
| Mercy Mgd Behavioral Health Contracted [320259] | $14 - $17 | 591% |
| Acentra Health Contracted [320527] | $14 | 591% |
| Indian Health Service Contracted [320198] | $14 - $17 | 591% |
| Halo Hcr Inc Hospice Contracted [320432] | $14 - $17 | 591% |
| Elara Caring Aspire Hospice [20433] | $14 - $17 | 591% |
| Healthscope Contracted [320182] | $17 - $23 | 717% |
| Tricare | $17 | 717% |
| Administrative Payor Contracted [320005] | $22 | 928% |
| Centivo Contracted [320505] | $23 - $29 | 970% |
| Home State Health Plan Contracted [320187] | $26 | 1097% |
| Novasys Contracted [320285] | $26 | 1097% |
| Ambetter / Centene | $26 | 1097% |
| Preferred Health Plan Contracted [320522] | $32 | 1350% |
| Healthlink Contracted [320179] | $32 - $48 | 1350% |
| Workers Comp [20426] | $40 - $42 | 1688% |
| Point C Contracted [320238] | $45 - $48 | 1899% |
| United Medical Resources Contracted [320454] | $45 - $46 | 1899% |
| Auxiant Contracted [320462] | $45 - $48 | 1899% |
| Mercy Benefit Admin Contracted [320251] | $45 - $48 | 1899% |
| Medica Contracted [320239] | $47 | 1983% |
| Benefit Management Contracted [320052] | $48 | 2025% |
| Evolutions Health Care Contracted [320124] | $48 | 2025% |
| Point C [20238] | $48 | 2025% |
| Imagine 360 Contracted [320494] | $48 | 2025% |
| Yuzu Health Contracted [320521] | $48 | 2025% |
| USA Managed Care Org Contracted [320429] | $48 | 2025% |
| First Health Contracted [320128] | $48 | 2025% |
| Multiplan Contracted [320270] | $48 | 2025% |
| Health Systems Inc Contracted [320174] | $48 | 2025% |
| Show-Me Health Administrators Contracted [320483] | $48 | 2025% |
| Edison Health Solutions Contracted [320502] | $48 | 2025% |
| 90 Degree Benefits Contracted [320436] | $48 | 2025% |
| Private Health Care Systems Contracted [320320] | $48 | 2025% |
| Reflect Health Contracted [320492] | $48 | 2025% |
| Ebms Contracted [320493] | $48 | 2025% |
| Insurance System Inc Contracted [320465] | $48 | 2025% |
| Aither Health Contracted [320449] | $48 | 2025% |