CMS Price Transparency Data
Blood test, hemoglobin
Facility: Adventist Health White Memorial
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $3
- Cash Discount Price: $30
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Adventist Health White Memorial is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$30
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: $30 (1266%)
Insurance Median: $3 (127%)
Cash: $30 (1266% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Caremore Mcare - All Plans | $1 - $91 | 42% |
| First Heatlh Ppo - All Plans | $1 - $106 | 42% |
| Hcpamg - All Plans | $1 - $91 | 42% |
| Healthcare Inc - All Other Plans | $1 - $100 | 42% |
| La Care Mcr Adv - All Plans | $1 - $100 | 42% |
| Phcs Ppo - All Plans | $1 - $118 | 42% |
| Scan Health Mcare - All Plans | $1 - $118 | 42% |
| UnitedHealthcare | $1 - $91 | 42% |
| Western Growers/Pinnacle - All Plans | $1 - $93 | 42% |
| Access Group | $2 | 84% |
| Access Medi-Cal | $2 - $3 | 84% |
| Access Senior - All Other Plans | $2 | 84% |
| Ahf - All Plans | $2 - $136 | 84% |
| Ahp - All Other Plans | $2 | 84% |
| Ahp Medi-Cal | $2 - $3 | 84% |
| Ahp Senior | $2 | 84% |
| Alta Los Angeles Mcal 1/1/19 | $2 - $3 | 84% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $2 | 84% |
| Altamed Connect | $2 | 84% |
| Altamed Medi-Cal - All Other Plans | $2 - $3 | 84% |
| Assoc Hispanic Physcns Mcal | $2 - $4 | 84% |
| Avanti Mcal | $2 - $3 | 84% |
| Avanti Mcr Adv - All Other Plans | $2 | 84% |
| Beech Street - All Plans | $2 - $136 | 84% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $2 | 84% |
| Bella Vista Medi-Cal Op/Profee Only | $2 - $3 | 84% |
| Blue Cross Blue Shield | $2 - $26 | 84% |
| Blue Shield Medi-Cal | $2 - $7 | 84% |
| Brand New Day Mcare - All Plans | $2 | 84% |
| Bs Va Mcare | $2 | 84% |
| Care First Mcare - All Other Plans | $2 | 84% |
| Care First Medi-Cal | $2 - $9 | 84% |
| Clever Care - All Plans | $2 | 84% |
| Corvel Corp - All Plans | $2 - $146 | 84% |
| Fcs Ipa Mcr Advan Op/Profee Only | $2 | 84% |
| Fcs Ipa Medi-Cal Op/Profee Only | $2 - $3 | 84% |
| Fcs Ipa Op/Profee Only - All Other Plans | $2 | 84% |
| Fpn Ppo - All Plans | $2 - $164 | 84% |
| Healthcare Inc Medi-Cal | $2 - $3 | 84% |
| Healthmannet - All Plans | $2 - $155 | 84% |
| Healthnet Mcal | $2 - $3 | 84% |
| Humana | $2 | 84% |
| Interplan Ppo - All Plans | $2 - $136 | 84% |
| Lasalle Mg Commercial - All Other Plans | $2 | 84% |
| Lasalle Mg Medi-Cal | $2 - $3 | 84% |
| Lasalle Mg Senior | $2 | 84% |
| Medi-Cal | $2 - $3 | 84% |
| Medicare (plans) | $2 | 84% |
| Molina Mcare | $2 | 84% |
| Molina Medi-Cal | $2 - $3 | 84% |
| Multiplan Ppo - All Plans | $2 - $151 | 84% |
| Next Inc Ppo - All Plans | $2 - $155 | 84% |
| Pacific Alliance Mcare - All Other Plans | $2 | 84% |
| Pacific Alliance Medi-Cal | $2 - $3 | 84% |
| Pacific Ipa Medi-Cal | $2 - $3 | 84% |
| Preferred Healthy | $2 - $3 | 84% |
| Preferred Ipa La Care Mcal Cap | $2 - $3 | 84% |
| Preferred Medi-Cal | $2 - $3 | 84% |
| Preferred Senior | $2 | 84% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $2 | 84% |
| Tricare | $2 | 84% |
| Trpn - All Plans | $2 - $155 | 84% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $3 | 127% |
| Bright Health - All Plans | $3 | 127% |
| Healthnet Mcr Adv | $3 - $278 | 127% |
| Intergrated Medical - All Plans | $3 | 127% |
| Molina Benefit Exchange - All Other Plans | $3 | 127% |
| Preferred Commercial - All Other Plans | $3 | 127% |
| Ah Employee Health Plan - All Plans | $4 | 169% |
| Php-Prospect Health Plan Cap - All Plans | $4 | 169% |
| Centivo - All Plans | $5 | 211% |
| Cigna | $10 | 422% |
| Aetna | $12 | 506% |
| Blue Shield Epn | $36 - $43 | 1519% |
| Blue Shield - All Other Plans | $42 - $50 | 1772% |
| Blue Shield Mcr Adv | $45 - $55 | 1899% |
| Pacific Ipa - All Other Plans | $57 - $69 | 2405% |
| Kaiser- All Plans | $62 - $75 | 2616% |
| Healthnet - All Other Plans | $68 - $82 | 2869% |
| Healthnet Comm Care | $70 - $85 | 2954% |