Blood test, hemoglobin
Facility: Intermountain Health Sanpete Valley Hospital
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $103
- Cash Discount Price: $81
- vs. Medicare Baseline: 43.46x 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 4346% of the Medicare baseline (a markup of 4246%). 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 |
|---|---|---|
| Healthy U | $2 - $96 | 84% |
| Molina | $2 - $103 | 84% |
| Selecthealth | $2 - $103 | 84% |
| Humana | $2 - $103 | 84% |
| Aetna | $2 - $104 | 84% |
| Health Partners of Nevada | $2 - $32 | 84% |
| Health Plan of Nevada | $2 - $96 | 84% |
| UnitedHealthcare | $2 - $103 | 84% |
| American Health | $2 - $32 | 84% |
| Blue Cross Blue Shield | $3 - $103 | 127% |
| Triwest | $34 - $98 | 1435% |
| Injury Care of Nevada | $81 | 3418% |
| Byu Risk Management | $92 | 3882% |
| Corporation of the President | $92 | 3882% |
| Wcf Insurance | $92 | 3882% |
| Corvel Corporation | $92 | 3882% |
| Global Excel | $103 | 4346% |
| Deseret Mutual | $103 | 4346% |
| Lw Miller | $103 | 4346% |
| Tanner LLC | $103 | 4346% |
| Springtide | $103 | 4346% |
| Utah Tech | $103 | 4346% |
| Hygeia Corporation | $103 | 4346% |
| Franklin County | $103 | 4346% |
| Emi Health | $103 | 4346% |
| Prodegi Corp Benefit | $103 | 4346% |
| Ifit | $103 | 4346% |
| Uofu | $103 | 4346% |
| Campbell Scientific | $103 | 4346% |
| Health Utah | $103 | 4346% |
| Medcare International | $103 | 4346% |
| Managed Care Admin | $103 | 4346% |
| Emi | $103 | 4346% |
| Awh Connected | $103 - $104 | 4346% |
| Cigna | $103 | 4346% |
| Motivhealth | $103 | 4346% |
| Pehp | $103 | 4346% |
| Byu Athletics | $103 | 4346% |
| Wise Network | $103 | 4346% |
| Juniper Systems | $103 | 4346% |