CMS Price Transparency Data

Blood test, hemoglobin

Facility: UF Health Shands Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at UF Health Shands Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $9 (380%)
Insurance Median: $3 (127%)
Cash: $9 (380% of Medicare)
Ins. Median: $3 (127% 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
Avmed $2 84%
Blue Cross Blue Shield $2 - $9 84%
Capital Health Plan $2 - $8 84%
Careplus $2 84%
Humana $2 - $3 84%
North Central Hospice $2 84%
UnitedHealthcare $2 - $3 84%
Vha $2 84%
Wellcare $2 84%
Aetna $3 - $14 127%
Ahf Mco Of Fl $3 127%
Beacon Health Strategies $3 127%
Carelon Health $3 127%
Devoted Health Plan $3 127%
Florida Community Care $3 127%
Freedom Health- Inc./Optimum Healthcare- Inc. $3 127%
Ghilcrest County $3 127%
Levy County $3 127%
Positive Healthcare Partners $3 127%
Sunshine State Health Plan $3 127%
Amerihealth Caritas Florida $4 169%
Community Care Plan $4 169%
Molina $4 169%
Simply Healthcare $4 169%
Wellpath $4 169%
Uaa $6 253%
Ambetter / Centene $7 295%
Northeast Fl Hospital $7 295%
Florida Health Care Plan $8 338%
Health First $12 506%
Prime Health Services $12 506%
Archbold Medical Center $13 549%
Cigna $13 549%
Genex $13 549%
Corvel Corp $14 591%
Geha $15 633%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals