CMS Price Transparency Data

Blood test, hemoglobin

Facility: Sarasota Memorial Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Sarasota Memorial Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.
Cash / Self-Pay
$19

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: $19 (802%)
Insurance Median: $4 (169%)
Cash: $19 (802% 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
Amerihealth Caritas Oncology $1 42%
Community Care Plan Oncology $1 42%
Molina Oncology $1 42%
Simply Healthcare Oncology $1 42%
Sunshine State Oncology $1 42%
Aetna $2 - $56 84%
Blue Cross Blue Shield $2 - $4 84%
Florida Community Care Oncology $2 - $3 84%
Simply Freedom Optimum $2 84%
Simply Freedom Optimum Oncology $2 84%
UnitedHealthcare $2 - $36 84%
Wellcare $2 84%
Amerihealth Caritas $3 127%
Community Care Plan $3 127%
Florida Community Care $3 127%
Molina $3 127%
Simply Healthcare $3 127%
Sunshine State $3 127%
Wellcare Oncology $3 127%
Oscar Oncology $4 169%
Ambetter / Centene $6 253%
Avmed $26 - $35 1097%
Usa Managed Care $28 - $38 1181%
First Health $30 - $39 1266%
Careworks $35 - $56 1477%
Enlyte $35 - $56 1477%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S Tamiami Trl, Sarasota, FL 34239
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals