CMS Price Transparency Data
Blood test, hemoglobin
Facility: Whittier Hospital Medical Center
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $3
- Cash Discount Price: $11
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Whittier Hospital Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$11
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: $11 (464%)
Insurance Median: $3 (127%)
Cash: $11 (464% 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 - $58 | 84% |
| Ahmc Medi-Cal Reciprocity Agreement | $2 | 84% |
| Aids Healthcare Foundation | $2 | 84% |
| Alignment Health Plan | $2 | 84% |
| Allied Physicians | $2 - $4 | 84% |
| Alta Los Angeles Hospitals Inc | $2 | 84% |
| Alta Med Health Network | $2 | 84% |
| Altamed Health Services Corporation | $2 | 84% |
| Apa/Aco Inc | $2 | 84% |
| Avanti | $2 - $3 | 84% |
| Beverly Hospital | $2 - $3 | 84% |
| Blue Cross Blue Shield | $2 - $40 | 84% |
| Blue Shield Of California | $2 - $40 | 84% |
| Brand New Day | $2 - $3 | 84% |
| Caloptima | $2 - $3 | 84% |
| Care First Health Plan | $2 | 84% |
| Caremore | $2 | 84% |
| Central Health Plan | $2 | 84% |
| County Of Los Angeles Dept Of Health Services | $2 | 84% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $2 | 84% |
| Easy Choice Health Plan | $2 | 84% |
| Emanate Health | $2 - $3 | 84% |
| Health Net | $2 - $47 | 84% |
| Healthy Way La | $2 | 84% |
| Heritage Provider Network | $2 - $3 | 84% |
| Hollywood Presbyterian Adv Med Mcal | $2 | 84% |
| Hollywood Presbyterian Medpoint Mcal | $2 | 84% |
| Humana | $2 | 84% |
| Kaiser Foundation | $2 - $55 | 84% |
| La Care Covered Direct | $2 | 84% |
| La Care Health Plan | $2 - $43 | 84% |
| La Care Healthy Families/Healthy Kids | $2 | 84% |
| Medi Caid/ Medi Cal | $2 | 84% |
| Medicare (plans) | $2 | 84% |
| Molina Healthcare Of California | $2 | 84% |
| Non Contracted Medi-Cal | $2 | 84% |
| Pacific Alliance Medical Center | $2 | 84% |
| Pacific Independent Physician Association | $2 - $24 | 84% |
| Pacificare Of California | $2 | 84% |
| Private Pay | $2 | 84% |
| Prospect Health Plan | $2 - $4 | 84% |
| Scan Health Plan | $2 | 84% |
| Self-Pay | $2 | 84% |
| Synermed | $2 | 84% |
| Veterans Administration | $2 | 84% |
| Ahmc Health | $3 | 127% |
| Applecare Medical Group | $3 | 127% |
| Athens Administrators Ahmc Work Comp | $3 | 127% |
| Capnet | $3 | 127% |
| Chinatown Service Center Pace | $3 | 127% |
| Cigna | $3 | 127% |
| Fmc Los Angeles County | $3 - $59 | 127% |
| Interplan Health Group | $3 | 127% |
| Knox-Keene Act | $3 | 127% |
| Misc 1 | $3 | 127% |
| Molina Medical Center | $3 - $31 | 127% |
| Monarch Healthplan | $3 | 127% |
| Multiplan Wc | $3 | 127% |
| San Miguel Health Plan | $3 | 127% |
| Tricare | $3 | 127% |
| UnitedHealthcare | $5 - $69 | 211% |
| Health Net Inc | $6 - $51 | 253% |
| Healthnet | $7 - $55 | 295% |
| Physician Healthways | $8 | 338% |
| Physicians Healthways Medical Corporation | $20 | 844% |
| Ahmc Reciprocity | $24 | 1013% |
| Ahmc Reciprocity Agreement Senior/Commercial | $24 | 1013% |
| Wear And Wood | $24 - $32 | 1013% |
| Edward Medical Group | $28 | 1181% |
| Central Health Plan Of California | $32 | 1350% |
| Allied Physicians Ipa | $36 | 1519% |
| Prospect Medical | $43 | 1814% |
| Care 1St Health Plan | $47 | 1983% |
| New Horizon Medical Group Inc | $47 | 1983% |
| Cost Containment | $51 | 2152% |
| Davita Healthcare Partners | $51 | 2152% |
| Universal Care | $51 - $55 | 2152% |
| Asi/Flex | $55 | 2321% |
| Us Comp Care | $55 | 2321% |
| Value Healthplan Of California | $55 | 2321% |
| Community Care Network | $59 | 2489% |
| Coventry Health Care | $59 | 2489% |
| Coventry Health Care National Network | $59 | 2489% |
| Interplan Corporation | $59 | 2489% |
| Managed Care Administrators | $59 | 2489% |
| Prohealth | $59 | 2489% |
| Multiplan | $67 | 2827% |
| Commercial Non Contract | $79 | 3333% |
| Medi-Cal Sub Acute | $79 | 3333% |
| One Legacy | $79 | 3333% |
| Great-West Healthcare Of California | $2,500 | 105485% |