CMS Price Transparency Data

Blood test, hemoglobin

Facility: HCA Florida Highlands Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $200
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at HCA Florida Highlands Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$200

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $200 (8439%)
Insurance Median: $4 (169%)
Cash: $200 (8439% of Medicare)
Ins. Median: $4 (169% 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 - $60 84%
Blue Cross Blue Shield $2 84%
Devoted Health $2 84%
Humana $2 - $80 84%
Ndms Definitive Care $2 84%
Prominence Healthfirst $2 84%
Sunshine State $2 - $3 84%
United $2 - $90 84%
Wellmed $2 84%
American Health Plan $3 127%
Amerihealth Caritas $3 127%
Centurion $3 127%
Cigna $3 127%
Florida Complete Care $3 127%
Longevity Health Plan $3 127%
Oscar $5 211%
Simply Healthcare $5 211%
Freedom Health $17 717%
Avmed $26 - $100 1097%
Molina $38 1603%
Prime Health $48 2025%
Office Of Sheiff Highland Co $70 2954%
United Ppo $88 3713%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals