CMS Price Transparency Data

Blood test, hemoglobin

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $73
Cash Discount Price: $73
vs. Medicare Baseline: 30.80x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Sarah D Culbertson Memorial Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 30.80x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $73 (3080%)

Insurance Median: $73 (3080%)

Cash: $73 (3080% of Medicare)

Ins. Median: $73 (3080% 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 3080% of the Medicare baseline (a markup of 2980%). 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
Aetna	$16 - $73	675%
Blue Cross Blue Shield	$16 - $79	675%
Corvel-All Plans	$16	675%
Meridian Hp Mcaid-All Plans	$16	675%
Molina Healthcare Mcaid	$16	675%
Humana	$35	1477%
Molina Mmai-All Other Plans	$35	1477%
UnitedHealthcare	$35 - $73	1477%
Cigna	$60	2532%
Beech Street-All Plans	$73	3080%
Encompass-All Plans	$73	3080%
Health Dynamics-All Plans	$73	3080%
Healthlink-All Plans	$73	3080%
Hfn Epo	$73	3080%
Hfn Ppo Ip/Op Only-All Other Plans	$73	3080%
Multiplan/Phcs-All Plans	$73	3080%
Preferred Medical Claims Solution-All Plans	$73	3080%
Three Rivers Provider Network-All Plans	$73	3080%
Wexford Ip/Op Only-All Plans	$73	3080%
Healthsmart-All Plans	$77	3249%

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 $73.
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 Sarah D Culbertson Memorial 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.