CMS Price Transparency Data

Blood test, hemoglobin

Facility: Adventist Health Lodi Memorial

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Adventist Health Lodi Memorial is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$3

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: $3 (127%)
Insurance Median: $4 (169%)
Cash: $3 (127% 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
Blue Shield Epn - All Other Plans $1 - $107 42%
Blue Shield Non-Epn $1 - $111 42%
Healthnet- All Other Plans $1 - $163 42%
Kaiser Commercial - All Other Plans $1 - $136 42%
Networks By Design- All Plans $1 - $166 42%
UnitedHealthcare $1 - $137 42%
Alignment Health Plan (Ahp)-All Plans $2 84%
Bc Mcal $2 84%
Beech Street- All Plans $2 - $298 84%
Blue Shield Mcare Adv $2 84%
Cca Health Plan Mcr Adv- All Plans $2 84%
Celtic Ins Company - All Plans $2 - $3 84%
Cigna $2 - $298 84%
First Health- All Plans $2 - $271 84%
Healthnet Mcal $2 - $4 84%
Healthnet Mcare $2 84%
Hp Healthy Kids Pro Fee $2 84%
Hp Mcal Pro Fee $2 84%
Hp Of San Joaquin Mcal $2 - $3 84%
Hp Of San Joaquin Mcr Adv $2 84%
Hp Of San Joaquin Ppo - All Other Plans $2 - $314 84%
Humana $2 84%
Kaiser Mcal $2 - $3 84%
Kaiser Mcr Adv $2 - $3 84%
Knnex Health - All Plans $2 - $3 84%
Medi-Cal $2 - $3 84%
Multiplan- All Plans $2 - $265 84%
Three Rivers Provider Network- All Plans $2 - $298 84%
Tricare $2 84%
Western Growers- All Plans $2 - $298 84%
Aetna $3 - $8 127%
Ah Employee Health Plan - All Plans $3 - $4 127%
Blue Cross Blue Shield $5 - $26 211%
Bright Health - All Plans $5 211%
Medcore(Omni Ipa) Op Only- All Plans $6 - $86 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals