CMS Price Transparency Data

Blood test, hemoglobin

Facility: University of Miami Hospital and Clinics

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $28
Cash Discount Price: $18
vs. Medicare Baseline: 11.81x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at University of Miami Hospital and Clinics is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 11.81x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$18

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $18 (759%)

Insurance Median: $28 (1181%)

Cash: $18 (759% of Medicare)

Ins. Median: $28 (1181% 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 1181% of the Medicare baseline (a markup of 1081%). 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
UnitedHealthcare	$2 - $10	84%
Aetna	$3 - $59	127%
Humana	$3	127%
Solis Health	$3	127%
Careplus	$7 - $27	295%
Molina Healthcare Of Fl	$7 - $29	295%
Sunshine Health	$7 - $27	295%
Amerihealth Caritas Fl	$8 - $30	338%
Blue Cross Blue Shield	$8 - $370	338%
Oscar Health Of Fl	$8 - $30	338%
Cigna	$10 - $47	422%
Curative	$14 - $57	591%
Avmed	$15 - $70	633%
Employers Health Network	$16 - $64	675%
Simply Healthcare	$16 - $64	675%
First Health	$18 - $70	759%
Health First New York Health Insurance	$18 - $70	759%
Broward Health	$19 - $75	802%
Beech Street	$22 - $86	928%
Dimension Health	$22 - $86	928%
Multiplan	$22 - $86	928%

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 $18.
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 University of Miami Hospital and Clinics 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.