CMS Price Transparency Data
Blood test, hemoglobin
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $3
- Cash Discount Price: $67
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at AHMC Anaheim Regional Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$67
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: $67 (2827%)
Insurance Median: $3 (127%)
Cash: $67 (2827% 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 |
|---|---|---|
| Aetna | $2 - $13 | 84% |
| Affiliated Doctors Of Orange County | $2 | 84% |
| Ahmc Reciprocity Agreement | $2 - $20 | 84% |
| Aids Health Foundation | $2 | 84% |
| Align Senior Care | $2 | 84% |
| Alignment Health Plan | $2 | 84% |
| Allied Physicians | $2 - $4 | 84% |
| Alta Los Angeles Hospital | $2 | 84% |
| Altamed Health Network | $2 | 84% |
| Angels Baseball Workers Comp | $2 | 84% |
| Apa Aco Inc | $2 | 84% |
| Applecare Medical Group | $2 | 84% |
| Avanti | $2 - $3 | 84% |
| Beverly Hospital | $2 - $3 | 84% |
| Blue Cross Blue Shield | $2 - $9 | 84% |
| Blue Shield Of California | $2 - $32 | 84% |
| Brand New Day | $2 - $3 | 84% |
| Caloptima | $2 - $3 | 84% |
| Central Health Of California | $2 | 84% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $2 | 84% |
| Davita Heatlhcare Partners Plan Inc | $2 - $36 | 84% |
| Emanate Health | $2 - $3 | 84% |
| Health Net | $2 | 84% |
| Health Net Inc | $2 - $51 | 84% |
| Healthcare Partners | $2 | 84% |
| Healthnet | $2 | 84% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $2 | 84% |
| Healthy Way La | $2 | 84% |
| Heritage Provider Network | $2 - $3 | 84% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $2 | 84% |
| Hollywood Presbyterian Medpoint Mcal | $2 | 84% |
| Humana | $2 | 84% |
| Innovative Integrated Health (Iih)/Orange County Pace | $2 | 84% |
| Kaiser Foundation Hospitals | $2 | 84% |
| Medi-Cal | $2 | 84% |
| Medical Safety Net Program | $2 | 84% |
| Medicare (plans) | $2 - $34 | 84% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $2 | 84% |
| Monarch Health Plan | $2 - $45 | 84% |
| Nchp | $2 | 84% |
| Non Contracted Medi-Cal | $2 | 84% |
| Pacificare | $2 | 84% |
| Private Pay Flat Rate | $2 | 84% |
| Prospect Health Plan | $2 - $3 | 84% |
| Prospect Medical Group | $2 | 84% |
| Scan Health Plan | $2 | 84% |
| Self-Pay | $2 | 84% |
| Seoul Medical Group | $2 | 84% |
| Talbert Medical Group | $2 | 84% |
| Veterans Administration | $2 | 84% |
| Wellcare | $2 | 84% |
| Ahmc Health Self-Insurance Epo | $3 | 127% |
| Athens Administrators | $3 | 127% |
| Capp Care | $3 - $50 | 127% |
| Cigna | $3 | 127% |
| Corvel | $3 - $50 | 127% |
| First Health | $3 - $57 | 127% |
| Interplan | $3 - $47 | 127% |
| Knox-Keene Act | $3 | 127% |
| Marriot Intl | $3 | 127% |
| Non Contracted Workers Comp | $3 | 127% |
| Orange County Preferred Provider Organization | $3 - $50 | 127% |
| Tricare | $3 | 127% |
| UnitedHealthcare | $5 - $9 | 211% |
| Monarch Healthcare Medical Group | $6 | 253% |
| Netcare Life And Health Insurance | $17 | 717% |
| Advance Clinical Research Institute | $20 | 844% |
| Memorial Healthcare Ipa | $20 | 844% |
| Medical Acquisition Company | $27 | 1139% |
| Healthcare Partners Commercial | $36 | 1519% |
| Huntington Memorial Hospital | $36 | 1519% |
| Genesis Healthcare Ipa Ancillary | $40 | 1688% |
| Affiliated Health Fund | $47 | 1983% |
| Allnet Preferred Provider | $47 | 1983% |
| Care First | $47 | 1983% |
| Private Healthcare Systems | $47 | 1983% |
| Choicecare | $50 | 2110% |
| Multiplan Inc | $50 | 2110% |
| Msi/Medical Services For Indigents | $52 | 2194% |
| National Provider Network | $54 | 2278% |
| Three Rivers Providers Network | $54 | 2278% |
| Health Payors Organization | $60 | 2532% |
| Non Contracted Commercial | $67 | 2827% |