CMS Price Transparency Data
Blood test, hemoglobin
Facility: Saint Joseph Regional Medical Center
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $2
- Cash Discount Price: $18,482
- vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Saint Joseph Regional Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,482. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$18,482
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: $18,482 (779831%)
Insurance Median: $2 (84%)
Cash: $18,482 (779831% 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
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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 | $1 - $21,054 | 42% |
| Blue Cross Blue Shield | $1 - $47,957 | 42% |
| Medicaid / KanCare | $1 - $26,103 | 42% |
| UnitedHealthcare | $1 - $26,103 | 42% |
| Albany County Correctional Facility | $2 | 84% |
| Align Senior Care | $2 | 84% |
| Ally Align Care Adv | $2 | 84% |
| Ambetter / Centene | $2 | 84% |
| American Health Advantage Of Idaho | $2 | 84% |
| American Health Plan | $2 | 84% |
| Amish Mennonite | $2 | 84% |
| Andrie Inc | $2 | 84% |
| Ascension St. Vincent Public Safety Medical | $2 | 84% |
| Aurora Special Needs | $2 | 84% |
| Bcccp-Michigan | $2 | 84% |
| Bccp | $2 | 84% |
| Bcn Domestic | $2 | 84% |
| Blue Benefit Administrators Of Massachusetts | $2 - $47,957 | 84% |
| Blue Care Network | $2 - $47,957 | 84% |
| Blue Care Network Advantage | $2 | 84% |
| Blue Distinction Transplant | $2 - $47,957 | 84% |
| Blue Shield - Ca | $2 - $47,957 | 84% |
| Blue Shield - De (Highmark) Medciare Advantage | $2 | 84% |
| Blue Shield - Id (Regence) | $2 - $47,957 | 84% |
| Blue Shield - Ny Highmark Northeastern | $2 - $47,957 | 84% |
| Blue Shield - Ny Highmark Western | $2 - $47,957 | 84% |
| Blue Shield - Pa (Highmark) | $2 - $47,957 | 84% |
| Blue Shield - Wa (Regence) | $2 - $47,957 | 84% |
| Bmc Healthnet | $2 | 84% |
| Breast Grant-Connecticut | $2 | 84% |
| Broward County Dept Of Health | $2 | 84% |
| California Health And Wellness | $2 | 84% |
| Cardinal Innovations Lme | $2 | 84% |
| Care Connections Of Northern Iowa | $2 | 84% |
| Care Dimensions | $2 | 84% |
| Care Improvement Plus | $2 | 84% |
| Care Oregon Ohp | $2 | 84% |
| Care Resources Pace | $2 | 84% |
| Careplus Health Plans | $2 | 84% |
| Cca - Zing Health | $2 | 84% |
| Cca Senior Care Options | $2 | 84% |
| Cencal Health Plan | $2 | 84% |
| Cenpatico | $2 | 84% |
| Central Valley Medical Services Corp Pace | $2 | 84% |
| Champion Health Plan Mcr Advantage | $2 | 84% |
| Champva | $2 | 84% |
| Chhuny | $2 | 84% |
| Childrens Comm Health Plan | $2 | 84% |
| Childrens Medical Services Title 19 | $2 | 84% |
| Christian Brother Services | $2 - $19 | 84% |
| Cigna | $2 - $24 | 84% |
| City Of Philadelphia | $2 | 84% |
| Clear Spring Health | $2 | 84% |
| Clover Health | $2 | 84% |
| Cmh Allegan County | $2 | 84% |
| Cmh Ausable Valley | $2 | 84% |
| Cmh Barry County | $2 | 84% |
| Cmh Bay-Arenac County | $2 | 84% |
| Cmh Berrien County | $2 | 84% |
| Cmh Cass County | $2 | 84% |
| Cmh Central Mi County | $2 | 84% |
| Cmh Clinton-Eaton-Ingham County | $2 | 84% |
| Cmh Detroit Wayne Integrated Health Network | $2 | 84% |
| Cmh Genesee County | $2 | 84% |
| Cmh Ionia County | $2 | 84% |
| Cmh Jackson County/Lifeways | $2 | 84% |
| Cmh Kalamazoo | $2 | 84% |
| Cmh Kent County | $2 | 84% |
| Cmh Lenawee County | $2 | 84% |
| Cmh Livingston County | $2 | 84% |
| Cmh Macomb | $2 | 84% |
| Cmh Misc | $2 | 84% |
| Cmh Monroe County | $2 | 84% |
| Cmh Montcalm County | $2 | 84% |
| Cmh Muskegon County | $2 | 84% |
| Cmh Newaygo County | $2 | 84% |
| Cmh North Country | $2 | 84% |
| Cmh Northern Lakes County | $2 | 84% |
| Cmh Oakland County | $2 | 84% |
| Cmh Ottawa County | $2 | 84% |
| Cmh Van Buren County | $2 | 84% |
| Cmh Washtenaw County | $2 | 84% |
| Cmh Wayne County/Carelink | $2 | 84% |
| Cmh Wayne Cty/Com Liv Svcs | $2 | 84% |
| Cmh West Mi County | $2 | 84% |
| Commonwealth Care Alliance | $2 | 84% |
| Community Benefit Health | $2 | 84% |
| Community Care Behavorial Health | $2 | 84% |
| Community Care Partners | $2 | 84% |
| Community Health Alliance | $2 | 84% |
| Community Health Choice | $2 | 84% |
| Community Pace At Home | $2 | 84% |
| Connections Csp | $2 | 84% |
| County Coroner | $2 - $14,127 | 84% |
| County Funding Generic | $2 | 84% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $2 | 84% |
| Dean Wi Badgercare | $2 | 84% |
| Delaware County Department Of Health | $2 | 84% |
| Delaware First Health | $2 | 84% |
| Delta Dental Nj | $2 | 84% |
| Dph Tb Program | $2 | 84% |
| Dscc | $2 | 84% |
| East Greenbush Central School District | $2 | 84% |
| Eastpointe Lme | $2 | 84% |
| Eddy Senior Care-Pace | $2 | 84% |
| Eddy Seniorcare Pace | $2 | 84% |
| Elementcare | $2 | 84% |
| Evercare | $2 | 84% |
| Everence | $2 | 84% |
| Family Health Network | $2 | 84% |
| Freedom First Healthcare | $2 | 84% |
| Fresno County Ccs | $2 | 84% |
| Gateway Health Plan | $2 | 84% |
| Geha | $2 - $24 | 84% |
| Genesys Pace Of Genesee County | $2 | 84% |
| Genex Wc | $2 | 84% |
| Georgia Health Advantage | $2 | 84% |
| Ghc Scw Wi Badgercare | $2 | 84% |
| Gold Advantage | $2 | 84% |
| Gpa Croell Redi Mix | $2 | 84% |
| Harbor Health | $2 | 84% |
| Health America Advantra | $2 | 84% |
| Health Choices | $2 | 84% |
| Health Safety Net | $2 | 84% |
| Healthsmart Workers Comp | $2 | 84% |
| Healthy Blue Ne | $2 | 84% |
| Hennepin Health | $2 | 84% |
| Highmark Health Options Dual Plan | $2 | 84% |
| Hope Select Pace | $2 | 84% |
| Horizon Nj Total Care | $2 | 84% |
| Hudson Headwaters Pace | $2 | 84% |
| Humana | $2 | 84% |
| Huron Valley Pace | $2 | 84% |
| Id County Ada | $2 | 84% |
| Id County Canyon | $2 | 84% |
| Id County Cat Fund | $2 | 84% |
| Id County Other | $2 | 84% |
| Id County Payette | $2 | 84% |
| Idaho Dept Health And Wellfare | $2 | 84% |
| Idaho Womens Health Check | $2 | 84% |
| Indiana Breast Cervical Cancer | $2 | 84% |
| Inland Empire Health Plan | $2 | 84% |
| Innovative Integrated Health Community Plans | $2 | 84% |
| Intercommunity Health Ohp | $2 | 84% |
| Iowa Health Advantage | $2 | 84% |
| Iowa Total Care | $2 | 84% |
| Jag Source | $2 | 84% |
| Jai Medical System | $2 | 84% |
| Johns Hopkins Advantage Md | $2 | 84% |
| Kaiser Domestic | $2 | 84% |
| Kern Family Health Plan | $2 | 84% |
| Keystone First | $2 | 84% |
| Keystone First Chip | $2 | 84% |
| La Care Health Plan | $2 | 84% |
| Lakeland Care Inc | $2 | 84% |
| Lasso Healthcare Msa | $2 | 84% |
| Life St Marys Pace | $2 | 84% |
| Lifecircles Pace | $2 | 84% |
| Longevity Health Plan | $2 | 84% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $2 | 84% |
| Managed Health Services - Indiana | $2 - $26,103 | 84% |
| Martins Point Generations Advantage | $2 | 84% |
| Maryland Breast & Cervical Program | $2 | 84% |
| Maryland Healthy Smiles - Scion Dental | $2 | 84% |
| Maryland Physicians Care | $2 | 84% |
| Mass General Brigham Mcr Adv | $2 | 84% |
| Massachusetts Behavioral Health Partnership | $2 | 84% |
| Mdwise | $2 - $26,103 | 84% |
| Medi-Cal | $2 | 84% |
| Medi-Cal Healthnet | $2 | 84% |
| Medicare (plans) | $2 - $13,855 | 84% |
| Medipak Advantage | $2 | 84% |
| Medstar Dc Healthy Family | $2 | 84% |
| Medstar Md Health Choice | $2 | 84% |
| Mercy Life | $2 | 84% |
| Mercyone Cedar Valley | $2 | 84% |
| Meridian Complete | $2 - $13,583 | 84% |
| Meritain | $2 - $19 | 84% |
| Michigan Complete Health | $2 | 84% |
| Mo Home State Health Plan | $2 | 84% |
| Molina Centennial Care | $2 | 84% |
| Nascentia Health Options | $2 | 84% |
| Nascentia Health Plus | $2 | 84% |
| Nebraska Total Care | $2 | 84% |
| New Centry Health Careplus | $2 | 84% |
| New York Cancer Services Program | $2 | 84% |
| New York State Insurance Fund | $2 | 84% |
| Nextlevel Health | $2 | 84% |
| Njm Insurance Group | $2 | 84% |
| Oregon Screenwise | $2 | 84% |
| Osu Prime Care Advantage | $2 | 84% |
| Pace Cny | $2 | 84% |
| Pace Iowa Immanuel Pathways | $2 | 84% |
| Pace Of Southwest Michigan | $2 | 84% |
| Pace Southeast | $2 | 84% |
| Pace-Trinity Health | $2 - $13,583 | 84% |
| Paramount Advantage | $2 | 84% |
| Parkland Community Health Plan | $2 | 84% |
| Partners Behavioral Lme | $2 | 84% |
| Peach State Healthplan | $2 | 84% |
| Peak Pace Solutions | $2 | 84% |
| Perennial Advantage | $2 | 84% |
| Philadelphia County Funding | $2 | 84% |
| Pre-Employment | $2 | 84% |
| Preferred Care Partners | $2 | 84% |
| Preferred One | $2 - $19 | 84% |
| Presbyterian Centennial Care | $2 | 84% |
| Presbyterian Senior Plan | $2 | 84% |
| Prestige Health Choice | $2 | 84% |
| Priority Partners | $2 | 84% |
| Provider Partners Health Plan Of Illinois | $2 | 84% |
| Pruitthealth Premier | $2 | 84% |
| Reliance Community Care Partners Care Resources Pace | $2 | 84% |
| Robert F Sing Program | $2 | 84% |
| Rx 340B Pass Along | $2 | 84% |
| Rx Allwin | $2 | 84% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $2 | 84% |
| Rx Grane Grnmedd | $2 | 84% |
| Rx Heatlhcomp | $2 | 84% |
| Rx Medi-Cal | $2 | 84% |
| Rx Meridian Rx | $2 | 84% |
| Rx Restat | $2 | 84% |
| Rx Retiree Rx Care | $2 | 84% |
| Rx Saif Opdp Wc | $2 | 84% |
| Rx Worker'S Comp | $2 | 84% |
| Ryan White Florida Mssrp | $2 | 84% |
| Sandhills Center Lme | $2 | 84% |
| Scan Health Plan Mcr Ipa Meritage Oon | $2 | 84% |
| Screening For Life | $2 | 84% |
| Secure Horizons Ma Pffs | $2 | 84% |
| Serenity Pace | $2 | 84% |
| Siouxland Pace | $2 | 84% |
| Solis Health Plans | $2 | 84% |
| St Joseph County Hlth Dpt | $2 - $20,375 | 84% |
| Stephenson Cty Health | $2 | 84% |
| Sunnyview-Pace Finance Dept | $2 | 84% |
| Sunshine State Health Plan | $2 | 84% |
| Superior Health | $2 | 84% |
| Tenncare | $2 | 84% |
| Texan Plus | $2 | 84% |
| Texas Children'S Health Plan | $2 | 84% |
| The Health Plan | $2 | 84% |
| Thome Pace | $2 | 84% |
| Todays Options | $2 | 84% |
| Tribute Health Plans | $2 | 84% |
| Tricare | $2 | 84% |
| Trillium Community Ohp | $2 | 84% |
| Triwest Health Alliance | $2 | 84% |
| Tufts Health Public Plans | $2 | 84% |
| Um Health Advantage | $2 | 84% |
| Union Health Service | $2 | 84% |
| Us Family Health Plan | $2 | 84% |
| Vaya Health Lme | $2 | 84% |
| Veterans Administration | $2 | 84% |
| Veterans Eval Services | $2 | 84% |
| Washtenaw Health Plan | $2 | 84% |
| Wc Accident Fund | $2 | 84% |
| Wc Ace | $2 | 84% |
| Wc Acs Federal Employees | $2 | 84% |
| Wc Acuity | $2 | 84% |
| Wc Advantage | $2 | 84% |
| Wc Aegis | $2 | 84% |
| Wc Aig | $2 | 84% |
| Wc Aims | $2 | 84% |
| Wc Alaska National Ins | $2 | 84% |
| Wc Align Network | $2 - $38 | 84% |
| Wc Allied | $2 | 84% |
| Wc Am Trust N America | $2 | 84% |
| Wc American Claims Mgmt | $2 | 84% |
| Wc Amerisure | $2 | 84% |
| Wc Amtrust | $2 | 84% |
| Wc Asu Risk Mgt | $2 | 84% |
| Wc Benetech | $2 | 84% |
| Wc Berkley Admin | $2 | 84% |
| Wc Broadspire | $2 | 84% |
| Wc Broward County | $2 | 84% |
| Wc Bunch & Associates | $2 | 84% |
| Wc California State Comp Ins | $2 | 84% |
| Wc California State Ins Fund | $2 | 84% |
| Wc Capitol Area Health Consortium | $2 | 84% |
| Wc Ccmsi | $2 | 84% |
| Wc Chartis | $2 | 84% |
| Wc Chubb | $2 | 84% |
| Wc Cirma | $2 | 84% |
| Wc City Of Albany | $2 | 84% |
| Wc City Of Sioux City | $2 | 84% |
| Wc Claims Mgmt Inc | $2 | 84% |
| Wc Cna | $2 | 84% |
| Wc Comp One Admin C/O Manageability | $2 | 84% |
| Wc Compone Admin | $2 | 84% |
| Wc Corvel | $2 | 84% |
| Wc Ct Healthcare Trust | $2 | 84% |
| Wc Domestic | $2 | 84% |
| Wc Donegal Insurance Group | $2 | 84% |
| Wc Emc Insurance Company | $2 | 84% |
| Wc Employee Mutual | $2 | 84% |
| Wc Enablecomp | $2 | 84% |
| Wc Erie | $2 | 84% |
| Wc Esis | $2 | 84% |
| Wc Evolutions | $2 | 84% |
| Wc Fcci | $2 | 84% |
| Wc Fed Ex | $2 | 84% |
| Wc Federal Black Lung | $2 | 84% |
| Wc Federated | $2 | 84% |
| Wc Finley Occupational Health | $2 | 84% |
| Wc First Agency/Occunet | $2 | 84% |
| Wc Ford Motor | $2 | 84% |
| Wc Fresno Unified Emp | $2 | 84% |
| Wc Gallagher Bassett | $2 | 84% |
| Wc General Motors | $2 | 84% |
| Wc Generic | $2 | 84% |
| Wc Genex Care For Ohio | $2 | 84% |
| Wc Great West Casualty | $2 | 84% |
| Wc Guarantee Insurance | $2 | 84% |
| Wc Guard Insurance Company | $2 | 84% |
| Wc Hab | $2 | 84% |
| Wc Hartford | $2 | 84% |
| Wc Hastings | $2 | 84% |
| Wc Health Management | $2 | 84% |
| Wc Heritage Summit | $2 | 84% |
| Wc Hireright | $2 | 84% |
| Wc Horizon | $2 | 84% |
| Wc Icw Group | $2 | 84% |
| Wc Idaho State Ins Fund | $2 | 84% |
| Wc Intercare Insurance | $2 | 84% |
| Wc Intermountain | $2 | 84% |
| Wc Johns Eastern | $2 | 84% |
| Wc Kemberton | $2 | 84% |
| Wc Key Ins & Benefit Solutions | $2 | 84% |
| Wc Liberty Mutual | $2 | 84% |
| Wc Mac Risk Management | $2 | 84% |
| Wc Massachusetts | $2 | 84% |
| Wc Mdia | $2 | 84% |
| Wc Meadowbrook Claim | $2 | 84% |
| Wc Medical Administrators | $2 | 84% |
| Wc Meijers | $2 | 84% |
| Wc Memic | $2 | 84% |
| Wc Mercy Workcare | $2 | 84% |
| Wc Michigan | $2 | 84% |
| Wc Michigan Millers Mutual | $2 | 84% |
| Wc Mitchell Frankenmuth | $2 | 84% |
| Wc Mra | $2 | 84% |
| Wc Nationwide | $2 | 84% |
| Wc Nca Comp | $2 | 84% |
| Wc New York | $2 | 84% |
| Wc New York Special Funds | $2 | 84% |
| Wc North American Rishces | $2 | 84% |
| Wc Northeast Health | $2 | 84% |
| Wc Notre Dame | $2 - $21 | 84% |
| Wc Novanet | $2 | 84% |
| Wc O'Hara Corp | $2 | 84% |
| Wc Occ Health Allen | $2 | 84% |
| Wc Ohio Bureau | $2 | 84% |
| Wc One Call Medical | $2 | 84% |
| Wc Paradigm | $2 | 84% |
| Wc Peerless | $2 | 84% |
| Wc Pma | $2 | 84% |
| Wc Praxis Health Network | $2 | 84% |
| Wc Price Chopper | $2 | 84% |
| Wc Procura Management | $2 | 84% |
| Wc Qualcare | $2 | 84% |
| Wc Quiktrip | $2 | 84% |
| Wc Reny Company | $2 | 84% |
| Wc Rev Claims | $2 | 84% |
| Wc Risico | $2 | 84% |
| Wc Rural Mutual | $2 | 84% |
| Wc Saif Oregon | $2 | 84% |
| Wc Secura | $2 | 84% |
| Wc Sedgwick | $2 | 84% |
| Wc Sentry | $2 | 84% |
| Wc Sheakley Unicomp | $2 | 84% |
| Wc Smile Lodge | $2 | 84% |
| Wc Society | $2 | 84% |
| Wc Srs | $2 | 84% |
| Wc Taconic (Mro) | $2 | 84% |
| Wc Taconic Farms | $2 | 84% |
| Wc Travelers | $2 | 84% |
| Wc Triad Group | $2 | 84% |
| Wc Tristar | $2 | 84% |
| Wc Troy Ny | $2 | 84% |
| Wc Tyson | $2 | 84% |
| Wc Unified Health Services | $2 | 84% |
| Wc United Heartland | $2 | 84% |
| Wc Us Dept Of Labor | $2 | 84% |
| Wc Velocity | $2 | 84% |
| Wc Walmart | $2 | 84% |
| Wc West Bend | $2 | 84% |
| Wc West Bend Mutual/Argent | $2 | 84% |
| Wc Winnebago Industries | $2 | 84% |
| Wc Yankee Trails | $2 | 84% |
| Wc York Risk | $2 | 84% |
| Wc Zenith | $2 | 84% |
| Wc Zurich | $2 | 84% |
| Welbe Health | $2 | 84% |
| Wellmed | $2 | 84% |
| Wellsense Health Plan | $2 | 84% |
| Wi Womens Wellness | $2 | 84% |
| Allied Benefit Systems | $3 - $25,809 | 127% |
| Ameriben | $3 - $23 | 127% |
| Auxiant | $3 - $29,204 | 127% |
| Benefit Administrative Systems,Llc | $3 | 127% |
| Bureau Of Disability | $3 | 127% |
| Caresource | $3 - $21,054 | 127% |
| Custom Design Benefits | $3 - $29,204 | 127% |
| Encore Health | $3 - $24 | 127% |
| Key Benefit Administrator | $3 - $29,204 | 127% |
| Luminare Health (Detroit) | $3 - $23 | 127% |
| Physicians Health Plan Northern Indiana Health Insurance | $3 - $41,022 | 127% |
| Provider Partners Health Plan Of Indiana | $3 - $14,942 | 127% |
| Sagamore Health Network | $3 - $28 | 127% |
| Signature Care | $3 - $30 | 127% |
| Phcs | $4 | 169% |
| Siho Insurance Services | $4 - $21,734 | 169% |
| Wc Encore Health Network | $4 | 169% |
| Plain Church Group | $5 - $10 | 211% |
| Hospice Of Marshall County | $10 | 422% |
| Hospice Of St Joseph County | $10 | 422% |
| Asr Health Benefits | $19 | 802% |
| Employee Benefit Management | $19 | 802% |
| Medical Mutual | $19 | 802% |
| Rural Carrier Health Benefit Plan | $19 | 802% |
| Webtpa | $19 | 802% |
| Notre Dame Athletic Association | $21 | 886% |
| Group Administrators | $24 | 1013% |
| Health Partners | $24 | 1013% |
| Healthscope | $24 | 1013% |
| Indiana Criminal Justice Inst | $24 | 1013% |
| Mvp | $24 | 1013% |
| Prairie States | $24 | 1013% |
| Priority Health | $24 | 1013% |
| Professional Benefit Administrators | $24 | 1013% |
| Sisco Benefits | $24 | 1013% |
| Student Insurance Cma | $24 | 1013% |
| Unified Group Services | $24 | 1013% |
| Western & Southern Financial Group | $24 | 1013% |
| Goshen Preferred Network | $29 - $33 | 1224% |
| Christian Brothers Holy Cross | $30 | 1266% |
| Bankers Life Casualty | $38 | 1603% |