CMS Price Transparency Data
Blood test, hemoglobin
Facility: Coastal Communities Hospital
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $3
- Cash Discount Price: $13
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Coastal Communities Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$13
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: $13 (549%)
Insurance Median: $3 (127%)
Cash: $13 (549% 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 |
|---|---|---|
| Altamed Health Services | $2 - $3 | 84% |
| Altamed Mcal Hmo (Ancillary) | $2 | 84% |
| Blue Shield | $2 - $9 | 84% |
| Caloptima | $2 - $3 | 84% |
| Central Health Plan Of California | $2 | 84% |
| Champion Health Plan | $2 | 84% |
| Choice Physicians Network | $2 | 84% |
| Citizens Choice Health Plan | $2 | 84% |
| Clever Care Health Plan | $2 | 84% |
| Easy Choice Health Plan | $2 | 84% |
| For Your Benefit | $2 | 84% |
| Health Net | $2 - $9 | 84% |
| Healthcare Partners | $2 | 84% |
| Healthcare Partners Sr Hmo | $2 | 84% |
| Heritage | $2 | 84% |
| Hollywood Presbyterian | $2 | 84% |
| Humana | $2 | 84% |
| Imperial Health Plan Of Ca | $2 | 84% |
| Innovative Integrated Health | $2 | 84% |
| Kaiser | $2 - $8 | 84% |
| Kpc Healthcare Inc | $2 - $3 | 84% |
| Medcare Partners | $2 | 84% |
| Medi-Cal Hmo/Non Contract | $2 | 84% |
| Medicaid / KanCare | $2 | 84% |
| Monarch | $2 | 84% |
| Onecare | $2 | 84% |
| Onecare Connect | $2 | 84% |
| Other Senior Non Contract | $2 | 84% |
| Prospect Health Plan | $2 - $4 | 84% |
| Scan Health Plan | $2 | 84% |
| Self Pay Ab774/Cbo Use Only | $2 | 84% |
| UnitedHealthcare | $2 | 84% |
| Us Dept Of Labor | $2 | 84% |
| Us Federal Marshall/Department Of Immigration | $2 | 84% |
| Velocity Provider Network Sr | $2 | 84% |
| Verda Health Plan Sr | $2 | 84% |
| Veterans Administration | $2 | 84% |
| Victim Of Violent Crime | $2 | 84% |
| Victoria Hospice | $2 | 84% |
| Brand New Day | $3 | 127% |
| Champus | $3 | 127% |
| Choc Health Alliance | $3 | 127% |
| County Of Orange | $3 | 127% |
| County Of Orange/Custody/Advanced Medmgt | $3 | 127% |
| Coventry Auto Network | $3 | 127% |
| Coventry Wc | $3 | 127% |
| Family Choice | $3 | 127% |
| Heritage Provider Network | $3 - $8 | 127% |
| Interplan | $3 - $10 | 127% |
| Monarch Health Plan | $3 | 127% |
| Multiplan | $3 - $9 | 127% |
| Prime Health Srvs | $3 - $10 | 127% |
| Prime Health Srvs/Wc | $3 | 127% |
| Staywell/Island Home Ins | $3 | 127% |
| Three Rivers | $3 | 127% |
| Velocity National Provider Network Wc | $3 | 127% |
| Veterans Evaluation Services | $3 | 127% |
| Workers Comp State Of California | $3 | 127% |
| Ihhi Reciprocity | $4 | 169% |
| Three Rivers Network | $4 | 169% |
| Velocity National Provider Network Ppo | $4 | 169% |
| Cigna | $5 - $8 | 211% |
| First Health | $7 | 295% |
| Aetna | $8 | 338% |
| Magellan | $8 | 338% |
| Networks By Design | $9 | 380% |
| Networks By Design Wc | $9 | 380% |
| Healthsmart | $10 | 422% |
| Pnoa-Provider Network Of America | $10 | 422% |
| Prime Health | $10 | 422% |
| Prime Health Srvs/Network | $11 | 464% |
| Lucet Behavioral Health Sr | $13 | 549% |
| Managed Health Network | $13 | 549% |
| Other Insurance Loa | $13 | 549% |
| Other Non Contracted Plans | $13 | 549% |
| Private Pay | $13 | 549% |
| Us Behavioral Health Plan | $13 | 549% |
| Vitas Hospice | $13 | 549% |