CMS Price Transparency Data

Blood test, hemoglobin

Facility: Anderson Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Anderson Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$39

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: $39 (1646%)
Insurance Median: $4 (169%)
Cash: $39 (1646% 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 - $4 84%
Clear Springs Health $2 84%
Devoted Health Ppo $2 84%
Essence $2 84%
Humana $2 84%
Medicaid / KanCare $2 - $6 84%
Medicare (plans) $2 84%
Tricare $2 84%
UnitedHealthcare $2 - $4 84%
Ambetter / Centene $3 127%
Blue Choice $3 127%
Health Care Service Corporation $3 - $36 127%
Mercy Aco $4 169%
Mercy Benefit Admin $4 169%
Hopetrust $6 253%
Healthlink $13 549%
Work Comp $13 - $26,600 549%
Self Pay $39 - $25,000 1646%
Blue Cross Blue Shield $42 - $44 1772%
Cigna $59 2489%
Multiplan/Phcs $59 2489%
Beech Street Corporation $71 2996%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals