Blood test, hemoglobin
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $11
- Cash Discount Price: $20
- vs. Medicare Baseline: 4.64x 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 464% of the Medicare baseline (a markup of 364%). 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 |
|---|---|---|
| UnitedHealthcare | $3 - $33 | 127% |
| Direct Benefit-All Plans | $3 - $8 | 127% |
| Aetna | $5 - $22 | 211% |
| Trustmark Health Benefits-All Plans | $5 - $15 | 211% |
| Meritain Health-All Plans | $5 - $15 | 211% |
| Berkley Net-All Plans | $5 - $13 | 211% |
| Ambetter / Centene | $6 - $16 | 253% |
| Pinnacol-All Plans | $7 - $18 | 295% |
| Presbyterian-All Plans | $7 - $20 | 295% |
| Medi-Share-All Plans | $7 - $19 | 295% |
| Axa Equitable - All Plans | $7 - $18 | 295% |
| Auxiant - All Plans | $8 - $23 | 338% |
| The Kempton Group Admin-All Plans | $8 - $23 | 338% |
| Gpha(Wppa)-All Other Plans | $8 - $23 | 338% |
| Kasb Work Comp - All Plans | $8 - $21 | 338% |
| Sisco-All Plans | $9 - $24 | 380% |
| Providers Care Network- All Plans | $9 - $24 | 380% |
| Blue Cross Blue Shield | $9 - $26 | 380% |
| Emc-All Plans | $9 - $24 | 380% |
| Wppa- All Plans | $9 - $23 | 380% |
| Employee Benefit-All Plans | $9 - $25 | 380% |
| One Call Physician-All Plans | $9 - $25 | 380% |
| Triangle-All Plans | $9 - $25 | 380% |
| Regional Care(Wppa)-All Plans | $9 - $25 | 380% |
| First Health -All Plans | $9 - $25 | 380% |
| Gpha Employee Benefit Plan | $9 - $24 | 380% |
| Christian Hospital Aid - All Plans | $10 - $26 | 422% |
| Tricare | $10 - $26 | 422% |
| Humana | $10 - $28 | 422% |
| Cigna | $11 - $29 | 464% |
| Luminare Health- All Plans | $11 - $29 | 464% |
| Deseret Mutual(Uhis)-All Plans | $11 - $30 | 464% |
| Wps Vapc-All Plans | $11 - $31 | 464% |
| Vaccn-All Plans | $11 - $30 | 464% |
| Reserve National-All Plans | $11 - $31 | 464% |
| Coresource-All Plans | $11 - $30 | 464% |
| Hma Llc-All Plans | $11 - $31 | 464% |
| Medicaid / KanCare | $12 - $33 | 506% |
Consumer Guidance & Cost Commentary
For this blood test service at Satanta District Hospital, the cash price is $20.00, which is slightly lower than the facility's negotiated rates for most insurance plans. While the facility is a Critical Access Hospital in Kansas, the data indicates that the cash rate is competitive relative to the state average, though specific county averages were not provided in this report. Patients with high-deductible plans may find it beneficial to pay the cash price of $20.00 directly, as this avoids the administrative overhead and potential higher negotiated rates that commercial insurers often charge. It is important to note that while the facility offers a cash rate, patients should verify if their specific insurance plan has a lower negotiated rate before scheduling, as some commercial contracts may result in a lower allowed amount than the cash price.
The facility's negotiated rates vary significantly across payers, ranging from a low of $3.00 for UnitedHealthcare to a high of $33.00 for Medicaid/KanCare, with a median negotiated payment of $11.00. This median is notably lower than the gross charge of $23.00, reflecting the contractual ceilings that protect in-network members, but it remains higher than the cash price for many plans. To minimize costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since the facility is a government-owned hospital district, patients should request an itemized bill to ensure no errors exist, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.