CMS Price Transparency Data
Blood test, hemoglobin
Facility: Greater El Monte Community Hospital
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $4
- Cash Discount Price: $37
- vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Greater El Monte Community Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$37
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: $37 (1561%)
Insurance Median: $4 (169%)
Cash: $37 (1561% 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
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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 |
|---|---|---|
| Ahmc Reciprocity Agreement | $1 - $30 | 42% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1 - $30 | 42% |
| Allied Physicians Medical Group | $1 - $30 | 42% |
| Alta Med Health Services Med Grp | $1 - $25 | 42% |
| Blue Cross Blue Shield | $1 - $50 | 42% |
| Good Samaritan Medical Practice Assoc | $1 - $59 | 42% |
| Lincoln Hospital Medical Center | $1 - $30 | 42% |
| Ahmc Healthcare Inc | $2 | 84% |
| Aids Health Foundation | $2 | 84% |
| Alignment Health Plan | $2 | 84% |
| Allied Physicians | $2 - $3 | 84% |
| Altamed Health Network | $2 | 84% |
| Apa/Aco Inc | $2 | 84% |
| Associated Hispanic Physicians | $2 | 84% |
| Avanti | $2 - $3 | 84% |
| Bella Vista Medical Group Ipa | $2 - $45 | 84% |
| Beverly Hospital | $2 - $3 | 84% |
| Blue Shield Of California | $2 - $50 | 84% |
| Brand New Day | $2 - $3 | 84% |
| California Thoroughbred Horesmans Foundation | $2 - $50 | 84% |
| Care 1St Health Plan | $2 - $59 | 84% |
| Clinica Medica Familiar | $2 - $50 | 84% |
| Cms | $2 | 84% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $2 | 84% |
| Easy Choice Health Plan | $2 | 84% |
| Emanate Health | $2 - $3 | 84% |
| Global Care Medical Group Ipa | $2 - $45 | 84% |
| Health Net Foundation | $2 - $64 | 84% |
| Health Net Inc | $2 - $70 | 84% |
| Healthy Way La | $2 | 84% |
| Hollywood Presbyterian Adv Med Mcal | $2 | 84% |
| Hollywood Presbyterian Medpoint Mcal | $2 | 84% |
| Inter Valley Health Plan | $2 | 84% |
| La Care Covered Direct | $2 | 84% |
| La Care Health Plan | $2 - $54 | 84% |
| Molina Healthcare | $2 | 84% |
| Molina Healthcare Of California | $2 - $39 | 84% |
| Other Non Contracted Medi-Cal Hmo | $2 | 84% |
| Other Non Contracted Senior Hmo | $2 | 84% |
| Pacific Alliance Medical Center Reciprocal Contract | $2 | 84% |
| Pacificare Of California | $2 - $86 | 84% |
| Scan Health Plan | $2 | 84% |
| Self-Pay | $2 | 84% |
| State Of California | $2 | 84% |
| UnitedHealthcare | $2 - $85 | 84% |
| Universal Care | $2 - $69 | 84% |
| Veterans Administration | $2 | 84% |
| Ahmc Health Self-Insurance Epo | $3 | 127% |
| Athens Administrators | $3 | 127% |
| Caloptima | $3 | 127% |
| Central Health Plan | $3 - $69 | 127% |
| Champus Foundation | $3 | 127% |
| Chinatown Service Center Pace | $3 | 127% |
| Cigna | $3 | 127% |
| Community Care Network | $3 - $79 | 127% |
| Cost Containment Strategies | $3 - $64 | 127% |
| In Custody Police Dept | $3 - $64 | 127% |
| Intercomp | $3 | 127% |
| Interplan | $3 - $74 | 127% |
| Knox-Keene Act | $3 | 127% |
| Multiplan | $3 - $84 | 127% |
| Other Non Contracted Work Comp | $3 | 127% |
| Preferred Health Network | $3 | 127% |
| San Miguel Health Plan | $3 | 127% |
| Commercial Non Contract | $4 - $99 | 169% |
| Health Payors Organization | $4 - $89 | 169% |
| Medi-Cal Sub Acute | $4 - $99 | 169% |
| Nuclear Medicine/Whmc | $4 - $99 | 169% |
| One Legacy | $4 - $99 | 169% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $7 - $10 | 295% |
| Care First Health Plan | $7 - $10 | 295% |
| Employee Health Systems Medical Group | $14 - $20 | 591% |
| In Custody-Ca Highway Patrol | $20 | 844% |