CMS Price Transparency Data

Blood test, hemoglobin

Facility: Holy Family Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Holy Family Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$2

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: $2 (84%)
Insurance Median: $2 (84%)
Cash: $2 (84% of Medicare)
Ins. Median: $2 (84% 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
Cigna $1 42%
Aetna $2 - $4 84%
Blue Cross Blue Shield $2 - $4 84%
Celtic (Wellcare) $2 84%
Clear Spring Health Of Illinois $2 84%
Devoted Health $2 84%
Essential Health Partners $2 - $3 84%
Humana $2 - $4 84%
Illinois Physicians Alliance $2 84%
Longevity Health Plan Of Illinois $2 84%
Medicare (plans) $2 84%
Meridian $2 - $4 84%
Molina $2 - $4 84%
Provider Partners Health Plan (Pphp) $2 84%
Ravenswood Physicians Associates Ipa $2 84%
Resurrection Physicians Provider Group Ipa $2 - $3 84%
Self-Pay $2 84%
Tricare $2 84%
United Behavioral Health $2 84%
UnitedHealthcare $2 - $3 84%
Zing Health Provider Network $2 84%
Access Community Health Network $3 127%
Imagine Health Network $3 127%
Ambetter / Centene $4 169%
Clifton Health Systems $4 169%
Countycare $4 169%
Medicaid / KanCare $4 169%
Health Link, Inc. $33 1392%
Coventry $39 1646%
Workers Comp $39 1646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL