Blood test, hemoglobin
Facility: Goodland Regional Medical Center
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $23
- Cash Discount Price: $23
- vs. Medicare Baseline: 9.70x 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 970% of the Medicare baseline (a markup of 870%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $10 | 422% |
| Wppa | $22 - $23 | 928% |
| UnitedHealthcare | $23 | 970% |
Consumer Guidance & Cost Commentary
For the blood test procedure (CPT 85018) at Goodland Regional Medical Center in Goodland, Kansas, the cash median price is $23.00, which is $0.63 lower than the facility's negotiated rate of $23.63. This cash price is notably lower than the state average for this service, offering a potential savings for patients with high-deductible plans or those without insurance. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should be aware that prompt-pay discounts, typically ranging from 20% to 50%, may further reduce the final bill if paid in full upfront within 30 days. To secure these discounts, it is essential to request self-pay classification and a waiver of insurance submission before check-in, as billing systems often default to processing claims once a card is on file.
The facility's pricing structure is anchored by a Medicare amount of $2.37, which serves as a critical benchmark for evaluating commercial rates. The negotiated rate of $23.63 represents a significant markup compared to the Medicare baseline, reflecting the administrative costs and contract dynamics inherent in insurance billing. For patients relying on Blue Cross Blue Shield, Wppa, or UnitedHealthcare, the allowed amounts range from $10.00 to $23.00, with the highest negotiated rate of $23.63 exceeding the cash price. Given that over 80% of hospital bills contain errors, patients should request a detailed, itemized CPT-coded statement before paying to ensure no unbundled charges or services not rendered are included. If a balance bill arises from out-of-network anc