CMS Price Transparency Data

Blood test, hemoglobin

Facility: Oro Valley Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Oro Valley Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $47 (1983%)
Insurance Median: $3 (127%)
Cash: $47 (1983% of Medicare)
Ins. Median: $3 (127% 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 - $27 84%
Blue Cross Blue Shield $2 - $22 84%
Caremore Health Plan $2 84%
Cigna $2 - $4 84%
Clover Health Mcr Adv $2 84%
Department Of Veterans Affairs $2 84%
Fresenius Health $2 84%
Humana $2 84%
Magellan $2 - $86 84%
Medicaid / KanCare $2 - $3 84%
Medicare (plans) $2 84%
Node Banner Mcr Adv $2 84%
Node Devoted Health Mcr Adv $2 84%
Node Non Par Hospice Agree $2 84%
Node Triwest $2 84%
Node Va $2 84%
Pascua Yaqui Tribe $2 84%
Scan Health $2 84%
Tricare $2 84%
UnitedHealthcare $2 - $3 84%
Veterans Eval Services $2 84%
Wellcare Mcr Adv $2 84%
Ambetter / Centene $3 127%
Node Us Dept Of Labor $3 127%
Node Fusion Network $4 169%
Node Health Choice Exchange $4 169%
Node J Allen Inmate Health Svcs $4 169%
Health Net $5 211%
Seven Corners $5 211%
Self Pay $34 - $60 1435%
Beacon Health Options $72 3038%
Mtc $72 3038%
First Health Coventry $75 3165%
Coventry Work Comp Al $86 3629%
Multiplan $119 5021%
Prime Health $122 5148%
Three Rivers $122 5148%
Healthsmart $129 5443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals