CMS Price Transparency Data

Blood test, hemoglobin

Facility: Gadsden Regional Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Gadsden Regional Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$2

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: $32 (1350%)
Insurance Median: $2 (84%)
Cash: $32 (1350% of Medicare)
Ins. Median: $2 (84% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Abccedp $2 84%
Aetna $2 - $112 84%
Amedisys Hospice $2 84%
Bc Pml $2 84%
Blue Cross Blue Shield $2 84%
Cigna $2 - $15 84%
Gadsden Hospice $2 84%
Humana $2 84%
Medicaid / KanCare $2 84%
Medicare (plans) $2 84%
Node Champva $2 84%
Node Clover Health Mcr Adv $2 84%
Node Devoted Health Mcr Adv $2 84%
Node Eon Mcr Adv $2 84%
Node Non Par Hospice Agree $2 84%
Node Select Health Mcr Adv $2 84%
Node Va $2 84%
Node Viva Mcr Adv $2 84%
Node Wellcare Mcr Adv $2 84%
Prime Health $2 - $156 84%
Southern Care Hospice $2 84%
Tricare $2 84%
UnitedHealthcare $2 84%
Veterans Eval Services $2 84%
Node Us Dept Of Labor $3 127%
Ambetter / Centene $4 169%
Self Pay $26 - $39 1097%
American Employee Alliance $86 3629%
Multiplan $121 - $136 5105%
Magellan Behavioral $130 5485%
Viva Healthcare $130 5485%
First Health $151 - $174 6371%
Beech Street $158 - $1,525 6667%
Alamed Wc $162 6835%
Focus Health $165 6962%
Coventry Work Comp Al $169 7131%
Work Comp $183 7722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals