CMS Price Transparency Data

Blood test, hemoglobin

Facility: Marion Communtiy Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Marion Communtiy Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$227

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: $227 (9578%)
Insurance Median: $4 (169%)
Cash: $227 (9578% 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
Blue Cross Blue Shield $2 84%
Devoted Health $2 84%
Freedom Optimum $2 84%
Humana $2 - $45 84%
Ndms Definitive Care $2 84%
Sunshine State $2 84%
United $2 - $102 84%
Va Purchased Care Program $2 84%
Veterans Evaluation Services $2 84%
Wellcare $2 84%
Wellmed $2 84%
Aetna $3 - $68 127%
Align Senior Care $3 127%
American Health Plan $3 127%
Avmed $3 - $64 127%
Careplus $3 127%
Centurion $3 127%
Cigna $3 127%
Clear Spring Health $3 127%
Florida Complete Care $3 127%
Gold Kidney Of Florida $3 127%
Longevity Health Plan $3 127%
Secur $3 127%
Simply Healthcare $3 127%
Ultimate Health Plan $3 127%
Naphcare $5 - $6 211%
University Ma Federal Corrections $5 211%
Wellpath $5 - $6 211%
Simply $35 1477%
Molina Healthcare $43 - $73 1814%
Corvel Corporation $49 2068%
Prime Health $50 2110%
Careworks (Rockport Community) $51 2152%
Marion County Schools $51 2152%
Evolutions $52 2194%
Evolutions Healthcare $52 2194%
Sunshine State Health Plan $58 2447%
Plotkin Health $113 4768%
Prime Health Sheriff $113 4768%
Multiplan $177 7468%
Ppo Next $193 8143%
Novanet $204 8608%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals