CMS Price Transparency Data

Blood test, hemoglobin

Facility: HCA Florida Blake Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $35
  • Cash Discount Price: $480
  • vs. Medicare Baseline: 14.77x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at HCA Florida Blake Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $480. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 14.77x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$480

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $480 (20253%)
Insurance Median: $35 (1477%)
Cash: $480 (20253% of Medicare)
Ins. Median: $35 (1477% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1477% of the Medicare baseline (a markup of 1377%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $2 - $144 84%
Blue Cross Blue Shield $2 84%
Caresource $2 84%
Devoted Health $2 84%
Humana $2 - $134 84%
Ndms Definitive Care $2 84%
Sunshine State $2 84%
Ultimate Health Plan $2 84%
United $2 - $216 84%
United Va Ccn $2 84%
Wellcare $2 84%
Wellmed $2 84%
Align Senior Care $3 127%
American Health Plan $3 127%
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%
Secur $3 127%
Simply Healthcare $3 - $82 127%
Oscar $4 169%
Access 2 Healthcare Physicians Freedom Optimum Group Members $23 970%
Access 2 Healthcare Physicians Freedom Health $35 1477%
Access 2 Healthcare Physicians Optimum $35 1477%
Freedom Health Care $37 1561%
Optimum Healthcare $37 1561%
Avmed $38 - $120 1603%
Corvel Corporation $52 2194%
Rockport Healthcare Group $52 2194%
Prime Health $53 2236%
Molina $91 - $130 3840%
Evolutions Healthcare Systems $110 - $442 4641%
Sunshine State Health Plan $122 5148%
Behealthy America $187 7890%
Healthcare Sarasota $240 10127%
Plotkin Health $240 10127%
Prime Health Sheriff $240 10127%
Multiplan $360 - $408 15190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals