CMS Price Transparency Data

Blood test, hemoglobin

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $57
Cash Discount Price: $192
vs. Medicare Baseline: 24.05x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Hca-Healthone DBA Swedish Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 24.05x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $192 (8101%)

Insurance Median: $57 (2405%)

Cash: $192 (8101% of Medicare)

Ins. Median: $57 (2405% 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 2405% of the Medicare baseline (a markup of 2305%). 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
Cigna	$1 - $124	42%
Aetna	$2 - $102	84%
Blue Cross Blue Shield	$2 - $143	84%
Bright Health	$2 - $58	84%
Delaware Life Insurance	$2	84%
Devoted Health	$2	84%
Humana	$2	84%
Kaiser	$2 - $63	84%
Mutual Of Omaha	$2	84%
Rocky Mountain Health	$2	84%
Rocky Mountain Health Plan	$2	84%
Total Longterm Care	$2	84%
Triwest Health Alliance	$2	84%
United	$2 - $87	84%
Wellcare	$2	84%
Multiplan	$7 - $174	295%
Pinnacol Workers Comp	$7	295%
Vail Health	$27 - $29	1139%
Colorado Program For Children With Special Needs	$78 - $85	3291%
Western Plains Community Health	$115 - $126	4852%
Northcare	$123 - $136	5190%
Physician Health Partners	$123 - $136	5190%
Medical Development International	$141 - $155	5949%
Prime Health	$159 - $174	6709%

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 $192.
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 Hca-Healthone DBA Swedish Medical Center 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.