CMS Price Transparency Data

Blood test, hemoglobin

Facility: Alhambra Hospital Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Alhambra Hospital Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$110

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: $110 (4641%)
Insurance Median: $3 (127%)
Cash: $110 (4641% 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
Aetna $2 - $4 84%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $2 84%
Alignment Senior Hmo $2 84%
Allied Physicians Of Ca Medi-Cal $2 84%
Altamed Senior Services $2 84%
Apa Aco $2 84%
Blue Cross Blue Shield $2 - $4 84%
Blue Shield 65 Plus $2 84%
Brand New Day Sr $2 84%
Central Health Plan Of Ca Senior Hmo $2 84%
Citrus Valley Health Partners $2 84%
Health Net Medi-Cal $2 84%
Health Net Senior Hmo $2 84%
Humana $2 84%
Kaiser Medi-Cal $2 84%
La Care Exchange $2 84%
La Care Medi-Cal Hmo $2 84%
La Care Pasc Seiu Misc $2 84%
Medi-Cal $2 84%
Medicare (plans) $2 - $66 84%
Miscellaneous Medi-Cal Hmo $2 84%
Miscellaneous Senior Hmo $2 84%
Stewart Mg Senior Hmo $2 84%
UnitedHealthcare $2 - $5 84%
Wellcare Senior Hmo $2 84%
Ahmc Health $3 127%
Cigna $3 - $50 127%
Health Net Exchange $3 127%
Health Net Salud Con Hmo $3 127%
Miscellaneous Work Comp Hmo $3 127%
Molina Exchange $3 127%
Tricare $3 127%
Allied Physicians Of Ca Commercial $4 169%
Health Net Ppo/Epo/Pos $5 211%
Blue Shield Value Network Exchange $30 1266%
Ahmc-Reciprocity-Comm/Senior $33 1392%
Blue Shield Hmo/Ppo $33 1392%
Allied Physicians Comm/Sr $39 1646%
Allied Physicians Medi-Cal $39 1646%
Wellcare Allied Senior Hmo $39 1646%
Molina Health Plan $43 1814%
Self Pay $44 1857%
Health Net Exchange Enhanced Ppo $47 1983%
Kaiser Commercial $68 2869%
Scan Senior Plan $72 3038%
Multiplan $88 3713%
Miscellaneous Commercial Ppo/Hmo $110 4641%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals