Blood test, hemoglobin
Facility: Dupont Hospital LLC
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $5
- Cash Discount Price: $6
- vs. Medicare Baseline: 2.11x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 211% of the Medicare baseline (a markup of 111%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 - $52 | 42% |
| Encore Ppo | $1 - $58 | 42% |
| Lutheran Network | $1 - $58 | 42% |
| Lutheran Preferred | $1 - $70 | 42% |
| Medical Mutual Of Oh | $1 - $61 | 42% |
| Physicians Health Plan | $1 - $45 | 42% |
| Sagamore | $1 - $65 | 42% |
| Self Pay | $1 - $52 | 42% |
| UnitedHealthcare | $1 - $56 | 42% |
| Advantage Health Solutions | $2 - $96 | 84% |
| Allied Benefit Systems | $2 - $104 | 84% |
| Blue Cross Blue Shield | $2 - $4 | 84% |
| Caresource | $2 | 84% |
| Department Of Veterans Affairs | $2 | 84% |
| Encore Health Network | $2 - $104 | 84% |
| Frontpath | $2 - $93 | 84% |
| Humana | $2 | 84% |
| In Dept Of Correction | $2 | 84% |
| Iu Health | $2 | 84% |
| Managed Health Services | $2 - $5 | 84% |
| Medicaid / KanCare | $2 | 84% |
| Medicare (plans) | $2 | 84% |
| Multiplan | $2 - $104 | 84% |
| Node Devoted Health Mcr Adv | $2 | 84% |
| Node Mhs Mcr Adv | $2 | 84% |
| Node Non Par Hospice Agree | $2 | 84% |
| Node Pphp Mcr Adv | $2 | 84% |
| Node Va | $2 | 84% |
| Prime Health Services | $2 - $87 | 84% |
| Tricare | $2 | 84% |
| Veterans Eval Services | $2 | 84% |
| Php Freedom Network | $3 - $5 | 127% |
| Us Department Of Labor | $3 | 127% |
| Align In Work Comp | $4 | 169% |
| Amish Aid | $4 - $31 | 169% |
| Cigna | $4 - $42 | 169% |
| Encore Work Comp In | $4 | 169% |
| Lutheran Advanced Network | $4 | 169% |
| Lutheran Preferred Fixed 2 | $4 | 169% |
| In Work Comp | $5 | 211% |
| Encore Kba Epo | $6 | 253% |
| Encore Kba Ppo | $7 | 295% |