CMS Price Transparency Data

Blood test, hemoglobin

Facility: Banner Ocotillo Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Banner Ocotillo Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1405 South Alma School Road, Chandler, AZ.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $9 (380%)
Insurance Median: $4 (169%)
Cash: $9 (380% of Medicare)
Ins. Median: $4 (169% 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 - $30 84%
Arizona Physicians Ipa $2 84%
Banner Health $2 84%
Banner University Health Plan $2 84%
Blue Cross Blue Shield $2 - $11 84%
Carelon $2 84%
Cigna $2 - $5 84%
Devoted Health Services $2 84%
Gila River Health Care Corporation $2 84%
Health Choice Arizona, Inc. $2 - $4 84%
Health Net $2 - $4 84%
Humana $2 84%
Kaiser Foundation Health Plan $2 84%
Mercy Care $2 84%
Triwest Healthcare Alliance Corp - Va Ccn $2 84%
UnitedHealthcare $2 - $5 84%
Upmc Health Plan $2 84%
Wellpoint $2 84%
Gold Kidney Health Plan $3 127%
Hospice Of The Valley $3 - $20 127%
Oscar Health Plan $4 169%
Plotkin Health $4 - $25 169%
Quiktrip Corporation $4 - $30 169%
Arizona Medical Network $6 - $39 253%
Provider Network Of America $6 - $42 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 South Alma School Road, Chandler, AZ 85286
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals