CMS Price Transparency Data

Blood test, hemoglobin

Facility: Poudre Valley Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $59
Cash Discount Price: $70
vs. Medicare Baseline: 24.89x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Poudre Valley Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 24.89x the Medicare baseline. Located in 1024 S Lemay Ave, Fort Collins, CO.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $70 (2954%)

Insurance Median: $59 (2489%)

Cash: $70 (2954% of Medicare)

Ins. Median: $59 (2489% 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 2489% of the Medicare baseline (a markup of 2389%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$1 - $62	42%
Aetna	$2 - $83	84%
Cigna	$2 - $77	84%
Cms	$2	84%
Devoted Health	$2	84%
Humana	$2	84%
Kaiser	$2	84%
Select Health	$2 - $43	84%
UnitedHealthcare	$2 - $83	84%
Simplified Benefits Administration	$28 - $79	1181%
First Health	$59	2489%
Denver Health Medical Plan	$78	3291%
Midlands Choice	$90	3797%
Rocky Mountain Health Plans	$90	3797%
Multiplan	$91	3840%
Phcs	$91	3840%
First Choice Of The Midwest	$97	4093%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $70.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Poudre Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.