CMS Price Transparency Data

Blood test, hemoglobin

Facility: Mena Regional Health System

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Mena Regional Health System is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 311 North Morrow Street, Mena, AR.
Cash / Self-Pay
$29

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: $29 (1224%)
Insurance Median: $2 (84%)
Cash: $29 (1224% 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
Aetna $2 84%
Allwell Mcr Adv $2 84%
Ar Superior Select Tribute Health Plan Mcr Adv $2 84%
Blue Cross Blue Shield $2 - $3 84%
Cigna $2 84%
Humana $2 84%
Medicare (plans) $2 84%
UnitedHealthcare $2 84%
Vapccc3 All Regions 1-6 Dos Gt 1/30/19 $2 84%
Wellcare Health Plan Inc Mcr Adv $2 84%
Ambetter / Centene $3 127%
Qualchoice $3 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 North Morrow Street, Mena, AR 71953
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals