CMS Price Transparency Data

Blood test, hemoglobin

Facility: Glendale Adventist Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $18
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 7.59x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Glendale Adventist Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 7.59x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $27 (1139%)
Insurance Median: $18 (759%)
Cash: $27 (1139% of Medicare)
Ins. Median: $18 (759% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 759% of the Medicare baseline (a markup of 659%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Caremore Mcr Adv - All Plans $1 - $111 42%
First Health- All Plans $1 - $113 42%
Healthnet - All Other Plans $1 - $109 42%
Heritage Commercial - All Other Plans $1 - $103 42%
Heritage Sr $1 - $105 42%
La Care Mcr Adv- All Plans $1 - $107 42%
Phcs- All Plans $1 - $126 42%
Scan Mcr Adv - All Plans $1 - $126 42%
Western Growers/Pinnacle - All Plans $1 - $103 42%
Alignment Hp Mcr Adv - All Plans $2 - $194 84%
Beech Street - All Plans $2 - $146 84%
Blue Cross Blue Shield $2 - $26 84%
Blue Shield Mcr Adv $2 84%
Blue Shield Medi-Cal $2 - $7 84%
Choicecare - All Plans $2 - $146 84%
Clever Care Mcr Adv - All Plans $2 84%
Corvel- All Plans $2 - $155 84%
Health Mgmt Network - All Plans $2 - $165 84%
Healthnet Mcal $2 - $3 84%
Heritage Mcal $2 - $3 84%
Kaiser - All Plans $2 - $165 84%
Medi-Cal $2 - $3 84%
Molina Mcal $2 - $3 84%
Molina Mcr $2 84%
Regal Med Group Mcal $2 84%
Three Rivers - All Plans $2 - $165 84%
Tricare $2 84%
UnitedHealthcare $2 - $92 84%
Dept Of State Hsp Metropolitan- All Plans $3 127%
Healthnet Mcr Adv $3 - $275 127%
Molina Exchange - All Other Plans $3 127%
Regal Medical Group Commercial - All Other Plans $3 127%
Ah Employee Health Plan - All Plans $4 169%
Employers Health Network - All Plans $4 - $5 169%
Phys Assoc Op Only- All Plans $4 - $5 169%
Centivo - All Plans $5 211%
Cigna $8 338%
Blue Shield Epn - All Other Plans $10 - $71 422%
Blue Shield Non Epn $11 - $82 464%
Healthcare Partners- All Plans $13 - $92 549%
Aetna $14 591%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals