CMS Price Transparency Data

Blood test, hemoglobin

Facility: City of Hope National Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at City of Hope National Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.
Cash / Self-Pay
$5

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: $5 (211%)
Insurance Median: $4 (169%)
Cash: $5 (211% 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 $1 - $32 42%
Blue Shield $1 - $41 42%
Cigna $1 - $34 42%
Gold Coast $1 - $32 42%
Health Net $1 - $31 42%
Healthcare Partners $1 - $37 42%
Molina $1 - $42 42%
Primecare Medical Network $1 - $42 42%
St. Joseph Heritage $1 - $39 42%
Blue Cross Blue Shield $2 - $24 84%
Cal Optima $2 - $3 84%
Facey $2 - $3 84%
First Health $2 - $49 84%
Heritage Provider Network $2 - $22 84%
Inland Empire $2 - $26 84%
Phcs Multiplan $2 - $58 84%
Prime Healthcare Keenan $2 - $31 84%
UnitedHealthcare $2 - $18 84%
Blue Shield Covca $3 - $20 127%
Blue Shield Promise $4 - $22 169%
Cencal $4 - $26 169%
Kaiser $4 - $29 169%
La Care Health $4 - $26 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 Duarte Rd, Duarte, CA 91010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL