CMS Price Transparency Data

Blood test, hemoglobin

Facility: Banner Behavioral Health Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Banner Behavioral Health Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 7575 East Earll Drive, Scottsdale, AZ.
Cash / Self-Pay
$33

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: $33 (1392%)
Insurance Median: $3 (127%)
Cash: $33 (1392% 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 - $30 84%
Banner Health $2 84%
Banner University Health Plan $2 84%
Blue Cross Blue Shield $2 - $3 84%
Carelon $2 84%
Devoted Health Services $2 84%
Health Choice Arizona, Inc. $2 - $4 84%
Health Net $2 - $4 84%
Kaiser Foundation Health Plan $2 84%
Triwest Healthcare Alliance Corp - Va Ccn $2 84%
Upmc Health Plan $2 84%
Wellpoint $2 84%
Gold Kidney Health Plan $3 127%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $25 1055%
Arizona Medical Network $39 - $43 1646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7575 East Earll Drive, Scottsdale, AZ 85251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric