CMS Price Transparency Data

Blood test, hemoglobin

Facility: Baptist Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Baptist Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$6

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: $6 (253%)
Insurance Median: $4 (169%)
Cash: $6 (253% 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
Hospice Regency $1 - $19 42%
UnitedHealthcare $1 - $3 42%
Aetna $2 - $47 84%
Cigna $2 - $64 84%
Escambia $2 - $38 84%
First Health $2 - $44 84%
Healthspring Of Fl Al $2 84%
Hospice Covenant $2 84%
Hospice Emerald Coast $2 - $32 84%
Humana $2 - $4 84%
Medicare (plans) $2 84%
Mh Wellcare $2 84%
Private Healthcare $2 - $42 84%
Uwf Athletes $2 - $42 84%
Wellcare $2 84%
Cha Health Plan $3 127%
Choicecare $3 - $48 127%
Fl Community Care Ltc $3 127%
Mh Choicecare $3 - $48 127%
Mh Sunshine Mcaid $3 127%
Multiplan $3 - $57 127%
Pensacola $3 - $10 127%
Staywell $3 127%
Sunshine Health $3 127%
Wc Corvel $3 - $61 127%
Fl Blue $4 - $426 169%
Simply Healthcare Healthy Kids $4 169%
Bc Fl $305 12869%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals