CMS Price Transparency Data

Blood test, hemoglobin

Facility: Mercy Hospital Berryville

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $14
Cash Discount Price: $34
vs. Medicare Baseline: 5.91x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Mercy Hospital Berryville is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 5.91x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $34 (1435%)

Insurance Median: $14 (591%)

Cash: $34 (1435% of Medicare)

Ins. Median: $14 (591% 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 591% of the Medicare baseline (a markup of 491%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$2 - $13	84%
Medicaid / KanCare	$2 - $20	84%
United Medical Resources Contracted [320454]	$2 - $44	84%
UnitedHealthcare	$2 - $13	84%
Summit Community Care Contracted [320368]	$3	127%
Summit Community Care [20368]	$3	127%
Arkansas Total Care Contracted [320039]	$8	338%
Qual Choice Contracted [320324]	$10	422%
Aetna	$13	549%
American Health Advantage Of Mo Mcr [20264]	$13	549%
Cherokee Nation Health Serv Contracted [320066]	$13	549%
Cross Timbers Hospice [20098]	$13	549%
Dept Of Veteran Affairs Contracted [320106]	$13	549%
Elara Caring Aspire Hospice [20433]	$13	549%
Globalhealth Contracted [320145]	$13	549%
Halo Hcr Inc Hospice Contracted [320432]	$13	549%
Halo Hcr Inc Hospice [20432]	$13	549%
Humana	$13 - $44	549%
Independent Health [20197]	$13	549%
Indian Health Service Contracted [320198]	$13	549%
Indian Health Service [20198]	$13	549%
Jordan Valley Senior Care Pace [20515]	$13	549%
Kindful Hospice Contracted [320434]	$13	549%
Kindful Hospice [20434]	$13	549%
Medical Associates Health [20444]	$13	549%
Medicare (plans)	$13 - $14	549%
Mercy Hospice Okc [20252]	$13	549%
Mercy Mgd Behavioral Health Contracted [320259]	$13	549%
Pace Of The Ozarks [20518]	$13	549%
Provider Partners Health Plans Contracted [320450]	$13	549%
Qual Choice Contracted [320325]	$13	549%
Spina Bifida Hlthcare Benefit [20506]	$13	549%
Valir Pace [20503]	$13	549%
Wellfirst Health Mcr [20443]	$13	549%
Cigna	$14	591%
Tricare	$14	591%
Mercy Interfacility [20513]	$15	633%
Healthscope Contracted [320182]	$17	717%
Ambetter / Centene	$20	844%
Home State Health Plan Contracted [320187]	$20	844%
Novasys Contracted [320285]	$21	886%
Administrative Payor Contracted [320005]	$23	970%
Auxiant Contracted [320462]	$31 - $47	1308%
Healthlink Contracted [320179]	$34 - $44	1435%
Mercy Benefit Admin Contracted [320251]	$34 - $44	1435%
Personify Health Contracted [320051]	$34	1435%
Preferred Health Plan Contracted [320522]	$34	1435%
Insurance System Inc Contracted [320465]	$42	1772%
Point C Contracted [320238]	$42	1772%
90 Degree Benefits Contracted [320436]	$44	1857%
Aither Health Contracted [320449]	$44	1857%
Benefit Management Contracted [320052]	$44	1857%
Ebms Contracted [320493]	$44	1857%
Edison Health Solutions Contracted [320502]	$44	1857%
First Health Contracted [320128]	$44	1857%
Healthsmart Preferred Care Contracted [320184]	$44	1857%
Imagine 360 Contracted [320494]	$44	1857%
Medica Contracted [320239]	$44	1857%
Ppo Plus Contracted [320310]	$44	1857%
Reflect Health Contracted [320492]	$44	1857%
Show-Me Health Administrators Contracted [320483]	$44	1857%
Multiplan Contracted [320270]	$49	2068%
Private Health Care Systems Contracted [320320]	$49	2068%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $34.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Berryville is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.