CMS Price Transparency Data

Blood test, hemoglobin

Facility: Adventist Health Tehachapi Valley

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Adventist Health Tehachapi Valley is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$5

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: $5 (211%)
Insurance Median: $4 (169%)
Cash: $5 (211% 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
Ah Employee Health Plan - All Plans $1 - $59 42%
Blue Cross Blue Shield $1 - $64 42%
Blue Shield Non-Epn $1 - $56 42%
Klhp-Kern Legacy Epo -All Other Plans $1 - $56 42%
UnitedHealthcare $1 - $54 42%
Bc Mcal $2 - $3 84%
Cigna $2 - $87 84%
Coventry- All Plans $2 - $100 84%
Healthnet Mcare $2 - $21 84%
Healthnet Medi-Cal $2 - $3 84%
Healthnet- All Other Plans $2 - $85 84%
Kaiser Medi-Cal Ip/Op Only $2 - $3 84%
Khs-Kern Hlth Systm Mcal $2 - $4 84%
Medi-Cal $2 - $3 84%
Tricare $2 - $21 84%
Universal Ipa Mcal Op/Profee Only $2 - $3 84%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $2 - $21 84%
Aetna $3 - $14 127%
Network Providers- All Plans $3 - $27 127%
Oscar Health Plan- All Plans $3 - $4 127%
Blue Shield Epn- All Other Plans $4 - $47 169%
Centivo - All Plans $4 - $47 169%
Medicare (plans) $4 - $21 169%
Kaiser Ip/Op Only- All Other Plans $6 - $36 253%
Western Grwrs/Pinnacle - All Plans $8 - $47 338%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals