CMS Price Transparency Data

Blood test, hemoglobin

Facility: HCA Florida Orange Park Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $403
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at HCA Florida Orange Park Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$403

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: $403 (17004%)
Insurance Median: $3 (127%)
Cash: $403 (17004% 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
Blue Cross Blue Shield $2 84%
Careplus $2 84%
Devoted Health $2 84%
Hospice Community $2 84%
Hospice Haven $2 84%
Humana $2 - $165 84%
Ndms Definitive Care $2 84%
Sunshine State $2 84%
United $2 - $181 84%
United Behavioral Health $2 84%
Veterans Evaluation Services $2 84%
Wellcare $2 84%
Wellmed $2 84%
American Health Plan $3 127%
Cigna $3 127%
Clay County Sheriffs Office $3 127%
Florida Complete Care $3 127%
Gold Kidney $3 127%
Longevity $3 127%
Oscar $3 127%
Simply Healthcare $3 - $62 127%
Optimum Healthcare $34 1435%
Avmed $48 - $113 2025%
Corvel Corporation $51 2152%
Prime Health $52 2194%
Positive Healthcare $89 3755%
Sunshine State Health Plan $103 4346%
Molina Healthcare $109 4599%
Aetna $121 5105%
Medicare (plans) $181 7637%
Plotkin Health $201 8481%
Multiplan $314 - $342 13249%
Evernorth $322 13586%
Evolutions Healthcare $322 - $342 13586%
Ppo Next $342 14430%
Novanet $362 15274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals