CMS Price Transparency Data

Blood test, hemoglobin

Facility: The Women's Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at The Women's Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$37

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: $37 (1561%)
Insurance Median: $4 (169%)
Cash: $37 (1561% 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 - $22 84%
Alliance Coal $2 - $67 84%
Blue Cross Blue Shield $2 84%
Caresource $2 84%
Caresource Hip $2 84%
Caresource In $2 84%
Chamber Care $2 - $12 84%
Humana $2 84%
Iu Health $2 - $48 84%
Mdwise Hip $2 84%
Meridian Health Il $2 84%
Mhs $2 84%
Mhs Behavioral $2 84%
Molina Il $2 84%
Molina Ky $2 84%
Molina Ky Dual $2 84%
Passport Molina Ky $2 - $22 84%
Patoka Valley Health Care (80/20 Plan) $2 84%
Patoka Valley Health Care (90/10 Plan) $2 84%
UnitedHealthcare $2 - $77 84%
Wellcare Ky $2 - $22 84%
Allied National/Zelis - Freedom Plan $3 - $6 127%
Ambetter / Centene $3 - $4 127%
Caresource Marketplace (Just4Me) $3 - $4 127%
Claimdoc $3 127%
Hst $3 - $4 127%
One Care $3 - $67 127%
Cigna $4 - $69 169%
Claritev (Formerly Phcs/Mulitplan) $4 - $66 169%
Encorecombined $4 - $67 169%
Encoreprime $4 - $66 169%
First Health/Coventry $4 - $71 169%
Healthlink $4 - $82 169%
Hope Trust $4 169%
Noncontracted $4 169%
Sagamore $4 - $69 169%
Amish $7 295%
Self Pay $7 - $57 295%
Center Care $12 - $75 506%
Immergrun $26 - $40 1097%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals