CMS Price Transparency Data

Blood test, hemoglobin

Facility: HCA Florida Capital Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $406
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at HCA Florida Capital Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$406

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: $406 (17131%)
Insurance Median: $4 (169%)
Cash: $406 (17131% 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
Aetna $2 - $122 84%
Blue Cross Blue Shield $2 84%
Humana $2 - $81 84%
Ndms Definitive Care $2 84%
Sunshine State $2 84%
United $2 - $183 84%
United Behavioral Health $2 84%
Wellcare $2 84%
Wellmed $2 84%
Align Senior Care $3 127%
American Health Plan $3 127%
Centurion $3 127%
Cigna $3 127%
Clear Spring Health $3 127%
Florida Complete Care $3 127%
Gadsden County Jail $3 127%
Gold Kidney Of Florida $3 127%
Longevity Health Plan $3 127%
Oscar $3 127%
Physician Network Association $3 127%
Ultimate Health Plan $3 127%
Naphcare $4 169%
Simply Healthcare $4 169%
Corvel Corporation $47 1983%
Prime Health $48 2025%
Careworks (Rockport Community) $50 2110%
Simply $63 2658%
Molina Healthcare $77 - $130 3249%
Avmed $98 - $203 4135%
Sunshine State Health Plan $104 4388%
Plotkin Health $203 8565%
Prime Health Sheriff $203 8565%
Multiplan $317 - $345 13376%
Evernorth $325 13713%
Evolutions Healthcare $345 14557%
Ppo Next $345 14557%
Novanet $366 15443%
Beacon Health Options $406 17131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals