CMS Price Transparency Data

Blood test, hemoglobin

Facility: Oviedo Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Oviedo Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$81

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: $81 (3418%)
Insurance Median: $3 (127%)
Cash: $81 (3418% 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
Aetna $2 - $24 84%
Blue Cross Blue Shield $2 84%
Devoted Health $2 84%
Fl Health Care Plan $2 84%
Humana $2 - $16 84%
Ndms Definitive Care $2 84%
Sunshine State $2 84%
United $2 - $37 84%
Wellcare $2 84%
Wellmed $2 84%
Align Senior Care $3 127%
American Health Plan $3 127%
Avmed $3 - $41 127%
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%
Oscar $3 127%
Solis Health Plan $3 127%
Ultimate Health Plan $3 127%
Simply Healthcare $4 169%
Freedom Health $6 253%
Optimum $6 253%
Simply $13 549%
Molina Healthcare $15 633%
Evolutions $19 802%
Sunshine State Health Plan $21 886%
Florida Health Care Plan $31 1308%
Prime Health $52 2194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals