CMS Price Transparency Data

Blood test, hemoglobin

Facility: Ascension St Vincent's Riverside

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Ascension St Vincent's Riverside is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 1 Shircliff Way, Jacksonville, FL.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$2

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: $11 (464%)
Insurance Median: $2 (84%)
Cash: $11 (464% of Medicare)
Ins. Median: $2 (84% 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
Aetna $2 - $5 84%
Bc Advantage Mcr Replacement $2 84%
Blue Cross Blue Shield $2 84%
Careplus Mcr Replacement $2 84%
Cigna $2 - $16 84%
Community Hospice $2 84%
Coventry Mcr Replacement Hmo $2 84%
Haven Hospice $2 84%
Heartland Of Hc $2 84%
Humana $2 - $6 84%
Medicare (plans) $2 84%
Pace Place $2 84%
Research Study Encore Borland-Groover $2 84%
UnitedHealthcare $2 84%
Veterans Administration $2 84%
Wellcare $2 84%
Bright Health $3 127%
Smarthealth $3 127%
90 Degree Benefits $4 169%
Ambetter / Centene $4 169%
Avmed Exchange $4 169%
Employer Direct Healthcare $4 169%
Molina Exchange $4 169%
Occunet $4 - $5 169%
Oscar Health Plan $4 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Shircliff Way, Jacksonville, FL 32204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals