CMS Price Transparency Data

Blood test, hemoglobin

Facility: Lutheran Hospital of Indiana

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $1
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Lutheran Hospital of Indiana is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$1

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: $1 (42%)
Insurance Median: $2 (84%)
Cash: $1 (42% 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
Aetna $1 - $26 42%
Amish Aid $1 - $16 42%
Blue Cross Blue Shield $1 - $20 42%
Cigna $1 - $20 42%
Encore Ppo $1 - $27 42%
Lutheran Network $1 - $28 42%
Lutheran Preferred $1 - $22 42%
Lutheran Preferred Network $1 - $33 42%
Physicians Health Plan Of Northern Indiana $1 - $22 42%
Sagamore $1 - $30 42%
Self Pay $1 - $20 42%
UnitedHealthcare $1 - $27 42%
Advantage Health Solutions $2 - $46 84%
Allied Benefit Systems $2 - $50 84%
Care Source $2 84%
Department Of Veterans Affairs $2 84%
Encore Health Network $2 - $50 84%
Evolutions $2 - $50 84%
Humana $2 84%
In Dept Of Correction $2 84%
Iu Health Plan $2 84%
Managed Health Services $2 - $5 84%
Medicaid / KanCare $2 84%
Medicare (plans) $2 84%
Multiplan $2 - $46 84%
Node Devoted Health Mcr Adv $2 84%
Node Hospice Non Par Agree $2 84%
Node Pphp Mcr Adv $2 84%
Node Va $2 84%
Php Freedom Network $2 - $5 84%
Prime Health Services $2 - $41 84%
Tricare $2 84%
Veterans Eval Services $2 84%
Ky Work Comp $3 - $14 127%
Us Department Of Labor $3 127%
Align Network $4 169%
Encore Work Comp In $4 169%
Lutheran Advanced Network $4 169%
Node Lutheran Network $4 169%
Node Lutheran Preferred Fixed 2 $4 169%
Node Encore Kba Epo $6 253%
Node Encore Kba Ppo $7 295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals