CMS Price Transparency Data

Blood test, hemoglobin

Facility: Coral Gables Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Coral Gables Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 3100 Douglas Rd, Coral Gables, FL.
Cash / Self-Pay
$271

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: $271 (11435%)
Insurance Median: $3 (127%)
Cash: $271 (11435% 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
Cigna $1 - $80 42%
Aetna $2 - $204 84%
Avmed Broad Network $2 84%
Catholic Hospice $2 84%
Devoted Health $2 84%
Employer Direct Healthcare $2 - $3 84%
Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services $2 84%
Healthsun Health Plans $2 84%
Hospice Other $2 84%
Humana $2 - $99 84%
Leon Health Inc $2 84%
Longevity Health Plan $2 84%
Medicare (plans) $2 - $5 84%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $2 84%
Opus Care Of South Florida $2 84%
Seasons Hospice And Palliative Care Of Southern Florida Inc $2 84%
Tricare $2 84%
UnitedHealthcare $2 - $3 84%
Veterans Administration Mill Bill $2 84%
Veterans Administration Vaccn $2 84%
Vitas Healthcare Corporation/Hospice Ppo $2 84%
Bright Health Management Commercial $3 127%
Dimension Health Wc $3 127%
Florida Pace Centers $3 127%
Imagine Health $3 127%
Medicaid / KanCare $3 127%
Naphcare Inc $3 127%
Oscar Health Plan Hix $3 127%
Self Pay/Uninsured $3 127%
Workers Compensation $3 127%
Ambetter / Centene $4 169%
Avmed Exchange $4 169%
Amerihealth Caritas Next Exchange $5 211%
Auto Insurance $5 211%
Avmed Select Network $5 211%
Molina Marketplace Program Exchange $5 211%
Bc/Bs Myblue Hmo Hix $34 1435%
Bc/Bs Of Fl Network Blue $36 1519%
Bc/Bs Of Fl Ppo $36 1519%
Bc/Bs Of Fl Simplyblue $36 1519%
Bc/Bs Of Fl Blue Select Exchange Non Par $39 1646%
Bc/Bs Of Fl Health Options Hmo $41 1730%
Bc/Bs Of Fl Miami Dade Blue Select $41 1730%
Bc/Bs Of Fl Phs $146 6160%
Dimension International $176 7426%
First Health $193 8143%
Dimension Health Ppo $204 8608%
Commercial Non-Contracted $271 11435%
Self Pay - Mcd Pending 100 Percent $271 11435%
Single Case Agreement $271 11435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Douglas Rd, Coral Gables, FL 33134
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals