CMS Price Transparency Data

Blood test, hemoglobin

Facility: UW Health

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at UW Health is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.
Cash / Self-Pay
$17

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: $17 (717%)
Insurance Median: $4 (169%)
Cash: $17 (717% 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 - $48 84%
Blue Cross Blue Shield $2 - $33 84%
Humana $2 84%
Medicare (plans) $2 - $3 84%
Mychoice Wi Medical Adv $2 84%
UnitedHealthcare $2 - $4 84%
Quartz Aso $3 127%
Quartz Fully Insured $3 127%
Ecoh $5 - $53 211%
Hfn $5 - $53 211%
Alliance Premier Network $36 1519%
The Alliance $47 1983%
Wps Ppo $52 2194%
Cigna $53 2236%
Beloit Healt System $60 2532%
Mercycare $62 2616%
First Health/Coventry $66 2785%
Health Payment Systems $78 3291%
Healthsmart $78 3291%
Sheboygan Employers Health Network $83 3502%
Multiplan $93 3924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals