CMS Price Transparency Data

Blood test, hemoglobin

Facility: Doctors Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Doctors Hospital is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$2

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: $74 (3122%)
Insurance Median: $2 (84%)
Cash: $74 (3122% of Medicare)
Ins. Median: $2 (84% 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
Absolute Total Care $2 - $13 84%
Aetna $2 - $41 84%
Blue Cross Blue Shield $2 - $3 84%
Caresource $2 84%
Clover $2 84%
Coventry $2 84%
Devoted Health $2 84%
Eon Health $2 84%
Friday Health $2 84%
Georgia Assurance $2 84%
Health Net $2 84%
Healthspring $2 84%
Humana $2 84%
Regency Hospice $2 84%
Shared Health $2 84%
St Joseph Hospice $2 84%
United $2 - $33 84%
Wellcare $2 - $15 84%
Ambetter / Centene $3 127%
Blue Choice $3 127%
Health One Alliance $3 127%
Qtc Medical Group $3 127%
Dept Of Community Health $4 169%
Amerigroup $11 464%
Nhc Advantage $14 591%
Pruitt Health $14 591%
Peach State $15 633%
Americas 1St Choice $21 886%
Centurion $21 886%
Medcost $37 - $47 1561%
Kaiser Permanente $41 1730%
Multiplan $45 - $67 1899%
Performax $50 2110%
First Health $56 2363%
Employer'S Health Network $59 2489%
Novanet $67 2827%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals