CMS Price Transparency Data

Blood test, hemoglobin

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $19
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 8.02x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Medical West, An Affiliate of UAB Health System is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 8.02x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $20 (844%)
Insurance Median: $19 (802%)
Cash: $20 (844% of Medicare)
Ins. Median: $19 (802% 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 802% of the Medicare baseline (a markup of 702%). 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.

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
Aetna $2 - $22 84%
Blue Cross Blue Shield $2 84%
Cigna $2 - $23 84%
Cooper Green $2 84%
Jefferson County Sheriff $2 84%
Triwest $2 84%
United Mine Workers $2 84%
UnitedHealthcare $2 - $3 84%
Ambetter / Centene $3 127%
Humana $3 - $27 127%
Viva $3 - $16 127%
Phcs $13 - $22 549%
Beech Street $14 - $22 591%
One Health Plan $14 - $21 591%
Geha $15 - $22 633%
Healthchoice $15 - $22 633%
Alamed $17 - $25 717%
Construction Claims Management $18 - $26 759%
Corvel $18 - $29 759%
Multiplan $18 - $26 759%
Novanet $18 - $27 759%
Department Of Labor $19 - $28 802%
Heritage Summit Health $19 - $28 802%
Pnoa $20 - $29 844%
Three Rivers $20 - $29 844%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 995 9Th Avenue Southwest, Bessemer, AL 35022
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals