CMS Price Transparency Data

Blood test, hemoglobin

Facility: Antelope Valley Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Antelope Valley Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1600 W Ave J, Lancaster, CA.
Cash / Self-Pay
$52

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: $52 (2194%)
Insurance Median: $3 (127%)
Cash: $52 (2194% 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
Alignment Healthcare $2 84%
Brand New Day $2 84%
Central Health Plan Of California $2 84%
Citizens Choice Healthplan $2 84%
For Your Benefit $2 84%
Health Net Of California $2 - $3 84%
Humana $2 84%
L.A. Care Health Plan $2 84%
Wellcare $2 84%
Aids Foundation $3 127%
Align Senior Care Ca $3 127%
Ca State Prison $3 127%
Champion Health Plan $3 127%
Clever Care Health Plan $3 127%
Blue Shield $4 169%
Oscar Hp/Providence Health Network $4 169%
Aetna $6 253%
Cigna $11 464%
Blue Shield Of California $550 23207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 W Ave J, Lancaster, CA 93534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals