CMS Price Transparency Data

Blood test, hemoglobin

Facility: Adventist Health Ukiah Valley

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $33
Cash Discount Price: $10
vs. Medicare Baseline: 13.92x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Adventist Health Ukiah Valley is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 13.92x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$10

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $10 (422%)

Insurance Median: $33 (1392%)

Cash: $10 (422% of Medicare)

Ins. Median: $33 (1392% 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 1392% of the Medicare baseline (a markup of 1292%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$1 - $69	42%
Blue Shield Mcr Adv	$2	84%
Kaiser Mcr Adv	$2	84%
Kaiser Medi-Cal	$2 - $3	84%
Medi-Cal	$2 - $3	84%
Tricare	$2	84%
UnitedHealthcare	$2 - $74	84%
Aetna	$3 - $21	127%
Ah Employee Health Plan - All Plans	$3 - $4	127%
Healthnet-All Plans	$3 - $50	127%
Blue Shield Epn-All Other Plans	$4 - $34	169%
Blue Shield Non-Epn	$4 - $34	169%
Mendocino Lcc District-All Plans	$6 - $57	253%
Kaiser-All Other Plans	$7 - $70	295%
Three Rivers-All Plans	$8 - $79	338%
Blue Cross Blue Shield	$24 - $32	1013%
Western Growers-All Plans	$25 - $46	1055%
Foundation For Medical Care-All Plans	$36 - $66	1519%
Networks By Design-All Plans	$38 - $70	1603%
Phcs Multiplan-All Plans	$38 - $70	1603%
Interplan-All Plans	$39 - $72	1646%
Beech Street-All Plans	$41 - $75	1730%
Choice Care-All Plans	$41 - $75	1730%
Health Mgmt Network-All Plans	$41 - $75	1730%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $10.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.