Blood test, hemoglobin
Facility: Ohio Valley Surgical Hospital
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $11,885
- Cash Discount Price: $42
- vs. Medicare Baseline: 5014.77x 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 501477% of the Medicare baseline (a markup of 501377%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $2 - $40,293 | 84% |
| UnitedHealthcare | $3 - $17,571 | 127% |
| Pacific Source | $3 - $20,896 | 127% |
| Meritain | $3 - $20,896 | 127% |
| Geha | $3 - $20,896 | 127% |
| Meritain Heatlh | $3 - $20,896 | 127% |
| Mail Handlers | $3 - $20,896 | 127% |
| Genworth | $3 - $20,896 | 127% |
| Ngs Coresource | $3 - $20,896 | 127% |
| Mhbp | $3 - $20,896 | 127% |
| Aetna | $3 - $20,896 | 127% |
| Personify Health | $3 - $20,896 | 127% |
| Nippon Life | $3 - $20,896 | 127% |
| Mmoh | $32 - $11,885 | 1350% |
| Mmoh (Supermed) | $32 - $33 | 1350% |
| Mmo Cin. HMO | $32 - $44 | 1350% |
| Medicare (plans) | $42 - $12,264 | 1772% |
| Preferred Health | $63 | 2658% |
| Ohio Health | $63 | 2658% |
| Luminare Health | $63 | 2658% |
| Medben | $63 | 2658% |
| Medicaid / KanCare | $3,557 - $17,827 | 150084% |
| Amerihealth Caritas of Ohio | $3,657 | 154304% |
| Buckeye Community Health Plan | $4,022 | 169705% |
| Molina McD | $4,084 | 172321% |
| Caresource | $4,364 - $17,827 | 184135% |
| Humana | $4,493 - $11,919 | 189578% |
| Medigold | $11,885 | 501477% |
| Wraparound Pl Supp | $11,885 | 501477% |
| Everest | $11,885 | 501477% |
| Molina | $11,885 | 501477% |
| Bankers Life and Casualty | $11,885 | 501477% |
| Molina McR McD | $11,885 | 501477% |
| Molina Marketplace | $11,885 | 501477% |
| Cigna | $11,885 - $18,817 | 501477% |
| Wellcare By Allwell | $11,885 | 501477% |
| Communicare Advantage | $11,885 | 501477% |
| Bankers Fidelity | $11,885 | 501477% |
| Aarp | $11,885 | 501477% |
| Champus | $11,885 | 501477% |
| Self Pay Imaging | $11,885 | 501477% |
| Prosperity Supplement | $11,885 | 501477% |
| American Republic | $11,885 | 501477% |
| Molina Dual McR | $11,885 | 501477% |
| Molina McR+McD | $11,885 | 501477% |
| American Continental Life | $11,885 | 501477% |
| Aultcare Primetime Health Plan | $11,885 | 501477% |
| Gateway Health Plan | $11,885 | 501477% |
| Central States | $11,885 | 501477% |
| Molina Dual McR | $11,885 | 501477% |
| Patient No Pay | $11,885 | 501477% |
| American Retirement | $11,885 | 501477% |
| Aarp Supplemental | $11,885 | 501477% |
| Molina McR | $11,885 | 501477% |
| American Continental Insurance | $11,885 | 501477% |
| The Health Plan | $12,479 | 526540% |
| Devoted Health | $13,707 | 578354% |
| Employer Direct | $15,703 | 662574% |
| Medica | $17,571 | 741392% |
| Shl | $17,571 | 741392% |
| Oxford | $17,571 | 741392% |
| Ushealth | $17,571 | 741392% |
| Golden Rule | $17,571 | 741392% |
| Surest | $17,571 | 741392% |
| Caresourse | $17,827 | 752194% |
| Healthgram | $18,817 | 793966% |
| Unified Group | $18,817 | 793966% |
| Samba | $18,817 | 793966% |
| Nalc | $18,817 | 793966% |
| Sbma | $18,817 | 793966% |