CMS Price Transparency Data
Blood test, hemoglobin
Facility: Garfield Medical Center
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $3
- Cash Discount Price: $4
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Garfield Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$4
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: $4 (169%)
Insurance Median: $3 (127%)
Cash: $4 (169% 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 |
|---|---|---|
| Access Ipa Ancillary | $1 - $50 | 42% |
| Ahmc Healthcare Inc | $1 - $50 | 42% |
| Allied Physicians Risk Pool | $1 - $59 | 42% |
| Allied Physicians Risk Pool Agreement | $1 - $59 | 42% |
| Family Health Alliance | $1 - $50 | 42% |
| Healthnet Medi Cal Cap | $1 - $59 | 42% |
| Molina Medical Group | $1 - $66 | 42% |
| Pipa Risk Pool Agreement | $1 - $59 | 42% |
| Advantage Care Ipa | $2 - $168 | 84% |
| Aetna | $2 - $122 | 84% |
| Aids Health Foundation | $2 | 84% |
| Alhambra Hospital | $2 - $101 | 84% |
| Alignment Health Plan | $2 | 84% |
| Allied Physicians | $2 - $4 | 84% |
| Allied Physicians Med Grp | $2 - $84 | 84% |
| Apa Aco Inc | $2 | 84% |
| Avanti | $2 - $3 | 84% |
| Beverly Hospital | $2 - $3 | 84% |
| Blue Cross Blue Shield | $2 - $84 | 84% |
| Blue Shield | $2 - $33 | 84% |
| Blue Shield Of California | $2 - $84 | 84% |
| Brand New Day | $2 - $3 | 84% |
| Care 1St Health Plan | $2 - $101 | 84% |
| Care 1St Mcl/Gar Cap Reciprocity | $2 | 84% |
| Central Health Plan | $2 - $67 | 84% |
| Cms | $2 | 84% |
| Community Health Plan | $2 | 84% |
| Cv-19 Hrsa Uninsured Testing And Tx | $2 | 84% |
| Easy Choice Health Plan | $2 | 84% |
| Emanate Health | $2 - $3 | 84% |
| First Health Network | $2 - $118 | 84% |
| Health Net | $2 - $141 | 84% |
| Health Net Comm/Hmo | $2 - $92 | 84% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2 - $67 | 84% |
| Health Net Foundation M Cal (Family Health Alliance) | $2 - $67 | 84% |
| Healthy Way La | $2 | 84% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $2 | 84% |
| Hollywood Presbyterian Medpoint Mcal | $2 | 84% |
| Humana | $2 | 84% |
| Inter Valley Health Plan | $2 | 84% |
| Interplan | $2 - $126 | 84% |
| La Care Covered Direct | $2 | 84% |
| La Care Health Plan | $2 - $92 | 84% |
| Molina Healthcare | $2 | 84% |
| Molina Healthcare Of California | $2 - $3 | 84% |
| Non-Contract Medi-Care | $2 | 84% |
| Other Non-Contracting Medi-Cal | $2 | 84% |
| Pacific Alliance Medical Center Comm/Sr | $2 | 84% |
| Phys Assoc Of San Gab Valley | $2 - $67 | 84% |
| Physicians Healthways Medi-Cal | $2 - $168 | 84% |
| Physicians Healthways Medical Corporation | $2 - $168 | 84% |
| Scan Health Plan Sr Hmo | $2 | 84% |
| Self-Pay | $2 | 84% |
| State Of California Medi-Cal | $2 | 84% |
| Ucla Impact Dept Of Uncology | $2 | 84% |
| UnitedHealthcare | $2 - $101 | 84% |
| Veterans Administration | $2 | 84% |
| Ahmc Health Epo | $3 | 127% |
| Americas Health Plan | $3 - $143 | 127% |
| Athens Administrators | $3 | 127% |
| Caloptima Direct | $3 | 127% |
| Chinatown Service Center Pace | $3 | 127% |
| Cigna | $3 | 127% |
| Corvel Corporation | $3 - $134 | 127% |
| Fmc Los Angeles Co Epo | $3 - $126 | 127% |
| Health Payors Organization | $3 - $151 | 127% |
| Knox-Keene Act | $3 | 127% |
| Multiplan | $3 - $143 | 127% |
| National Disaster Medical System | $3 | 127% |
| One Health Plan | $3 - $118 | 127% |
| Other Non-Contracted Workers Compensation | $3 | 127% |
| Physician Healthways Medical Corporation | $3 | 127% |
| Preferred Health Network | $3 | 127% |
| San Miguel Health Plan | $3 | 127% |
| East La Reg Ctr | $4 - $168 | 169% |
| Health Net Inc | $4 | 169% |
| Non Contract Commercial | $4 - $168 | 169% |
| One Legacy | $4 - $168 | 169% |
| Private Pay | $4 - $168 | 169% |
| Pacificare Of California Inc | $5 | 211% |
| Pacificare Ppo | $5 | 211% |
| Pacific Independent Physician Association | $13 - $27 | 549% |
| Associated Hispanic Phys Of So Cal | $17 - $34 | 717% |
| Care First Health Plan | $17 | 717% |
| Employee Health Systems Mg | $34 | 1435% |