CMS Price Transparency Data

Blood test, hemoglobin

Facility: Athur M Blank Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $68
Cash Discount Price: $121
vs. Medicare Baseline: 28.69x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Athur M Blank Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 28.69x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $121 (5105%)

Insurance Median: $68 (2869%)

Cash: $121 (5105% of Medicare)

Ins. Median: $68 (2869% 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 2869% of the Medicare baseline (a markup of 2769%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource [61]	$3	127%
Peachstate [43]	$3	127%
Amerigroup [102]	$4	169%
Blue Cross Blue Shield	$48 - $164	2025%
Cigna	$48 - $111	2025%
United [5]	$48 - $111	2025%
Aetna	$49 - $113	2068%
Ambetter / Centene	$49 - $112	2068%
Oscar [228]	$49 - $113	2068%
Caresource Marketplace Bronze/Silver/Gold [60]	$50 - $114	2110%
Kaiser [6]	$50 - $114	2110%
Sidecar Health [236]	$50 - $116	2110%
Coventry [9]	$51 - $118	2152%
Direct Employer Agreements [72]	$51 - $143	2152%
First Health [74]	$55 - $126	2321%
Northeast Georgia Heatlh System [808]	$55 - $126	2321%
Veracity Benefits [809]	$55 - $126	2321%
Phcs [93]	$62 - $143	2616%
Secure Health [340]	$62 - $143	2616%
Beech Street [71]	$66 - $151	2785%
Multiplan [92]	$72 - $165	3038%
Novanet [41]	$73 - $168	3080%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $121.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Athur M Blank Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.