CMS Price Transparency Data

Blood test, hemoglobin

Facility: Memorial Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $49
Cash Discount Price: $82
vs. Medicare Baseline: 20.68x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Memorial Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 20.68x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $82 (3460%)

Insurance Median: $49 (2068%)

Cash: $82 (3460% of Medicare)

Ins. Median: $49 (2068% 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 2068% of the Medicare baseline (a markup of 1968%). 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
Health Alliance	$1 - $53	42%
Aetna	$2 - $62	84%
Blue Cross Blue Shield	$2 - $82	84%
Humana	$2 - $49	84%
Medicare (plans)	$2 - $82	84%
Tricare	$2	84%
UnitedHealthcare	$2 - $51	84%
Veterans Administration	$2	84%
Medicaid / KanCare	$6	253%
Molina	$6	253%
Healthlink	$8 - $52	338%
Commercial Workers Compensation	$25	1055%
Illinois Workers Compensation	$27	1139%
Current Health Network Ppo	$37	1561%
Cigna	$43	1814%
Phcs/Multiplan	$44 - $49	1857%
6 Degrees Health	$49	2068%
Hopetrust	$49	2068%
Hst	$49	2068%
Magellan	$49	2068%
Consociate	$53	2236%
Hfn	$53	2236%
Preferred Plan	$62	2616%
Soi Mcfarland	$62	2616%
Soi Rushville	$62	2616%
Corvel	$66	2785%
Methodist First Choice	$66	2785%
Mutual Medical Plans	$70	2954%
Liability	$82	3460%

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 $82.
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 Memorial Medical Center 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.