CMS Price Transparency Data

Blood test, hemoglobin

Facility: Perry County Memorial Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $21
Cash Discount Price: $57
vs. Medicare Baseline: 8.86x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Perry County Memorial Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 8.86x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $57 (2405%)

Insurance Median: $21 (886%)

Cash: $57 (2405% of Medicare)

Ins. Median: $21 (886% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 886% of the Medicare baseline (a markup of 786%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc 130	$2 - $66	84%
Group Insurance	$2 - $82	84%
Medicaid / KanCare	$2 - $82	84%
Medicare (plans)	$2 - $21	84%
Nsa	$2 - $51	84%
Veterans Administration	$2 - $82	84%
Workers Compensation	$41	1730%
Guarantor Liable	$57 - $82	2405%
Pcmh Insurnace	$64 - $82	2700%
Secondary Insurance	$66	2785%
UnitedHealthcare	$66	2785%
Operating Engineers	$70	2954%
Boilermakers Healthcare	$71	2996%
Cigna	$71	2996%
Great West	$71 - $82	2996%
Sagxxxx	$71	2996%
Champus	$82	3460%
Ngs American, Inc	$82	3460%
Patoka Valley	$82	3460%
Southwire	$82	3460%
Tricare	$82	3460%
Wausau Benefits	$82	3460%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $57.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.