CMS Price Transparency Data
Blood test, hemoglobin
Facility: Avoyelles Hospital
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $62
- Cash Discount Price: $31
- vs. Medicare Baseline: 26.16x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Avoyelles Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 26.16x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$31
Average discount available for prompt cash payment at this facility.
Insurance Median
$62
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: $31 (1308%)
Insurance Median: $62 (2616%)
Cash: $31 (1308% of Medicare)
Ins. Median: $62 (2616% 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 2616% of the Medicare baseline (a markup of 2516%). 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.
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 - $58 | 84% |
| Bankers Life | $2 | 84% |
| Champva | $2 | 84% |
| Cigna | $2 - $58 | 84% |
| Correct Cr Int Hlt | $2 - $21 | 84% |
| Humana | $2 - $58 | 84% |
| Mcd Amerihealth Caritas | $2 - $21 | 84% |
| Mcd Healthy Blue | $2 - $21 | 84% |
| Mcd La Hc Conn | $2 - $21 | 84% |
| Mcr Lagniappe | $2 | 84% |
| Medeico Ins Co | $2 | 84% |
| Medicaid / KanCare | $2 - $21 | 84% |
| Medicare (plans) | $2 | 84% |
| Mmc Allwell | $2 | 84% |
| Mmc Blue Advantage | $2 | 84% |
| Mmc Healthy Blue Dual Adv | $2 | 84% |
| Mmc Mcr Hmo Miscellaneous | $2 | 84% |
| Mmc Priority Hlth Pffs | $2 | 84% |
| Mmc Vantage Hlth | $2 | 84% |
| Mmc Wellcare | $2 | 84% |
| Mutual Of Omaha | $2 | 84% |
| Neba Inc | $2 | 84% |
| Philadelphia American Lif | $2 | 84% |
| Sentinel Security Life | $2 | 84% |
| Trustmark Health Benefits | $2 - $103 | 84% |
| Tunica Biloxi | $2 - $103 | 84% |
| United Amer Ins | $2 | 84% |
| UnitedHealthcare | $2 - $21 | 84% |
| Veterans Evaluation Serv | $2 | 84% |
| Wps Vacca | $2 | 84% |
| All Savers | $3 | 127% |
| Geha | $3 | 127% |
| Gulf South Zelis | $3 | 127% |
| Mcd Ms | $3 - $24 | 127% |
| United Hlth One | $3 | 127% |
| Amer Contl Ins | $4 - $58 | 169% |
| Blue Cross Blue Shield | $4 | 169% |
| Coventry | $4 - $58 | 169% |
| First Choice Health | $4 - $58 | 169% |
| Meritan Health | $4 - $103 | 169% |
| Ofc Of Grp Bene | $4 | 169% |
| Student Assurances | $31 - $103 | 1308% |
| Ppo Plus Llc | $62 | 2616% |
| Zelis Healthcare Bpa | $62 | 2616% |
| Gilsbar | $65 | 2743% |
| Amerind | $93 | 3924% |
| Applied Underwriters | $93 | 3924% |
| Sedgwick | $93 | 3924% |
| Us Dept Of Labor | $93 | 3924% |
| Wc Clms Admin Svcs | $93 | 3924% |
| Wc Clms Mgmnt Walmart | $93 | 3924% |
| Wc Esis | $93 | 3924% |
| Wc Fara | $93 | 3924% |
| Wc Gallagher Bassett | $93 | 3924% |
| Wc Guide One | $93 | 3924% |
| Wc Hartford Med | $93 | 3924% |
| Wc Luba | $93 | 3924% |
| Wc Lwcc | $93 | 3924% |
| Wc Paragon Casino Resort | $93 | 3924% |
| Wc Risk Mgmnt | $93 | 3924% |
| Wc Stone Trust | $93 | 3924% |
| Wc Summit Consulting Hold | $93 | 3924% |
| Wc Travelers Ins | $93 | 3924% |
| Wc Trs Workers Comp Claim | $93 | 3924% |
| Wc Us Dol | $93 | 3924% |
| Wc Zurich | $93 | 3924% |
| Aarp | $103 | 4346% |
| Admin Concepts | $103 | 4346% |
| All Saints Hospice | $103 | 4346% |
| All State | $103 | 4346% |
| Allegiance Health Hospice | $103 | 4346% |
| Allied Natl | $103 | 4346% |
| Amfirst | $103 | 4346% |
| Avoy Parish School Board | $103 | 4346% |
| Avoyelles Parish Sheriff | $103 | 4346% |
| Bollinger | $103 | 4346% |
| Ccmsi | $103 | 4346% |
| Central States | $103 | 4346% |
| Christus Health Plan | $103 | 4346% |
| Compassionate Care Hospic | $103 | 4346% |
| Core Source | $103 | 4346% |
| Coushatta Hlth Dept | $103 | 4346% |
| Ebms | $103 | 4346% |
| Federated Ins | $103 | 4346% |
| Feedom Life | $103 | 4346% |
| Fidelity Standard Life Co | $103 | 4346% |
| Fox Everette | $103 | 4346% |
| Guarantee Trust | $103 | 4346% |
| Heart Of Hospice | $103 | 4346% |
| Hos Christus Hospice | $103 | 4346% |
| Hos Guardian Hospice Care | $103 | 4346% |
| Hos Harbor Hospice Alex | $103 | 4346% |
| Hos La Hospice Palliative | $103 | 4346% |
| Hos Passages Hospice N. | $103 | 4346% |
| Hos St Joseph Hospice | $103 | 4346% |
| Hospice Miscellaneous | $103 | 4346% |
| Ins Mgmnt Admin | $103 | 4346% |
| Ins Tpa | $103 | 4346% |
| Liberty Health Share | $103 | 4346% |
| Lumico | $103 | 4346% |
| Manhattan Life Ins | $103 | 4346% |
| Medi Share | $103 | 4346% |
| Misc Comm | $103 | 4346% |
| Nalc | $103 | 4346% |
| New Era Life | $103 | 4346% |
| North American | $103 | 4346% |
| Phcs | $103 | 4346% |
| Physicians Mutual | $103 | 4346% |
| Pipeline Ind Bene | $103 | 4346% |
| Progressive Auto | $103 | 4346% |
| Reliance Standard Life | $103 | 4346% |
| Rural Carriers | $103 | 4346% |
| Shelter Ins Co | $103 | 4346% |
| Sierre Health And Life | $103 | 4346% |
| State Farm | $103 | 4346% |
| State Mutual | $103 | 4346% |
| Sterling Investors | $103 | 4346% |
| The Health Plan | $103 | 4346% |
| Tribal Hlth Partners | $103 | 4346% |
| Tricare | $103 | 4346% |
| Uct | $103 | 4346% |
| Unified Life | $103 | 4346% |
| Usaa Life Ins | $103 | 4346% |
| Web-Tpa | $103 | 4346% |
| Woodmen Of The World | $103 | 4346% |