CMS Price Transparency Data

Blood test, hemoglobin

Facility: Halifax Health Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Halifax Health Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$21

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: $21 (886%)
Insurance Median: $3 (127%)
Cash: $21 (886% 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

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
Avmed $1 - $24 42%
Blue Cross Blue Shield $1 - $22 42%
Coventry $1 - $31 42%
Florida Healthcare - Hecn $1 - $17 42%
Sunshine State Health Plan $1 - $17 42%
UnitedHealthcare $1 - $29 42%
A&G Admin $2 - $25 84%
Aetna $2 - $49 84%
Centivo $2 - $24 84%
Claimdoc $2 - $29 84%
County Of Volusia Corrections $2 - $24 84%
Devoted Health $2 - $29 84%
Division Of The Blind $2 - $29 84%
Evolutions International $2 - $37 84%
Hrgi $2 - $34 84%
Independent Living Systems $2 - $24 84%
Oscar $2 - $29 84%
Plotkin Consulting $2 - $34 84%
Prime Health Services $2 - $29 84%
Sim Plan Pay $2 - $32 84%
Summit America $2 - $39 84%
Volusia $2 - $34 84%
Volusia County Employee $2 - $25 84%
Americas Choice Provider Network $3 - $49 127%
Caresource Network $3 127%
Embs $3 - $42 127%
Hcra $3 127%
Humana $3 127%
Integrated Health Plan $3 - $44 127%
Medicaid / KanCare $3 127%
Molina $3 127%
Multiplan $3 - $44 127%
Simply Healthcare Plans $3 127%
Three Rivers $3 - $47 127%
West Volusia $3 127%
Employers Health Network $4 169%
Fhcp $5 211%
Florida Healthcare $5 211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals