CMS Price Transparency Data

Blood test, hemoglobin

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $75
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 31.65x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Hazel Hawkins Memorial Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 31.65x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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%)
Insurance Median: $75 (3165%)
Ins. Median: $75 (3165% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3165% of the Medicare baseline (a markup of 3065%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Tricare $2 84%
Triwest - All Plans $2 84%
UnitedHealthcare $2 - $105 84%
Blue Cross Blue Shield $3 - $140 127%
Kaiser Mcal $3 127%
Medi-Cal $3 127%
Valley Hp Mcal $3 127%
Ccah Mcal - All Plans $4 169%
Blue Shield Mcare $15 - $27 633%
Caremore Med Adv - All Plans $15 - $27 633%
Kaiser Med Adv $15 - $27 633%
Central Hp Med Adv $16 - $28 675%
Valley Hp Covered Ca $42 - $74 1772%
Valley Hp Preferred $42 - $74 1772%
Kaiser Comm - All Other Plans $47 - $83 1983%
Blue Shield Of Ca - All Other Plans $48 - $85 2025%
Valley Hp Classic - All Other Plans $50 - $89 2110%
Beech Street Corp Ppo - All Plans $67 - $119 2827%
Cigna $67 - $119 2827%
Corvel Ppo - All Plans $67 - $119 2827%
First Health Ppo - All Plans $67 - $119 2827%
Great West Ppo - All Plans $67 - $119 2827%
Nx Health Network - All Plans $67 - $119 2827%
Interplan Ppo - All Plans $70 - $124 2954%
Bce Emergis/Multi Ppo - All Plans $71 - $126 2996%
Healthnet Hmo $71 - $126 2996%
Healthnet Ppo - All Other Plans $71 - $126 2996%
Metracomp Wc Ppo - All Plans $71 - $126 2996%
One Hp Ppo - All Plans $71 - $126 2996%
Admar Ppo - All Plans $72 - $128 3038%
Pacific Hlth Alliance - All Plans $73 - $129 3080%
Ccn Ppo - All Other Plans $75 - $133 3165%
Choicecare Ppo/Hmo - All Plans $75 - $133 3165%
Coastal Hlthcre Ppo/Hmo - All Plans $75 - $133 3165%
Ccn (W/C) $79 - $140 3333%
Central Coast Ppo - All Other Plans $79 - $140 3333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals