CMS Price Transparency Data
Blood test, hemoglobin
Facility: Claiborne Memorial Medical Center
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $17
- Cash Discount Price: $27
- vs. Medicare Baseline: 7.17x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Claiborne Memorial Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 7.17x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$27
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $27 (1139%)
Insurance Median: $17 (717%)
Cash: $27 (1139% of Medicare)
Ins. Median: $17 (717% 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 717% of the Medicare baseline (a markup of 617%). 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 - $17 | 84% |
| Amerihealth Caritas La | $2 - $12 | 84% |
| Arcadian Community Mcr Hm | $2 | 84% |
| Blue Cross Blue Shield | $2 - $13 | 84% |
| Champus | $2 | 84% |
| Champva | $2 | 84% |
| Cigna | $2 - $20 | 84% |
| Community Health Solution | $2 - $12 | 84% |
| Correctcare Intergrated | $2 - $12 | 84% |
| Healthy Blue | $2 - $12 | 84% |
| Healthy Blue Dual Adv | $2 | 84% |
| Humana | $2 - $27 | 84% |
| Kaiser Foundation Health | $2 | 84% |
| Louisiana Hc Connections | $2 - $12 | 84% |
| Magellan Services | $2 - $12 | 84% |
| Medicaid / KanCare | $2 - $12 | 84% |
| Medicare (plans) | $2 | 84% |
| Peoples Health Network | $2 | 84% |
| Pyramid Claims Mcr Hmo | $2 | 84% |
| Sterling Connect 2 | $2 | 84% |
| Sterling Premier Mc Hmo | $2 | 84% |
| Superior Health Mcr Hmo | $2 | 84% |
| Tenet Mcr Hmo | $2 | 84% |
| Tricare | $2 | 84% |
| United Hc Mcr Hmo | $2 | 84% |
| UnitedHealthcare | $2 - $12 | 84% |
| Universal Hc Mcr Hmo | $2 | 84% |
| Us Dept Of Labor | $2 | 84% |
| Vantage Health Mcr Hmo | $2 | 84% |
| Windsor Sterling Mcr Hmo | $2 | 84% |
| Wps Mvh Vapc3 | $2 | 84% |
| All Savers | $3 | 127% |
| Ambetter / Centene | $3 | 127% |
| Golden Rule Ins Co | $3 | 127% |
| United Behavioral Health | $3 | 127% |
| Vantage Health Plan Inc | $3 | 127% |
| Sedgwick Claims Mgmt Serv | $10 - $24 | 422% |
| Workman'S Comp | $10 - $24 | 422% |
| Commercial Insurance | $11 - $27 | 464% |
| Meritain Health | $11 - $17 | 464% |
| Coventry Healthcare | $16 | 675% |
| Geha | $19 | 802% |
| Health Plus Of La | $19 - $20 | 802% |
| Apwu Healthplan | $20 | 844% |
| Great West Healthcare | $20 | 844% |
| Phcs | $21 | 886% |
| Ppo Plus | $21 | 886% |
| Aarp | $27 | 1139% |
| Accordia National | $27 | 1139% |
| Aflac | $27 | 1139% |
| Alameda Alliance Forhealt | $27 | 1139% |
| American Pioneer | $27 | 1139% |
| Benefit Management | $27 | 1139% |
| Benesys Inc | $27 | 1139% |
| Business Guarantor | $27 | 1139% |
| Chubb | $27 | 1139% |
| Commercial Sr. Care | $27 | 1139% |
| Employee Benefit Services | $27 | 1139% |
| Family Life Insurance Co | $27 | 1139% |
| Farm Bureau Insurance | $27 | 1139% |
| Fiserv Health Benefit | $27 | 1139% |
| Gmp | $27 | 1139% |
| Group And Pension Admin | $27 | 1139% |
| Group Resources | $27 | 1139% |
| Haik Minvielle And Grubbs | $27 | 1139% |
| Harrington Benefit Svs | $27 | 1139% |
| Health Design Plus | $27 | 1139% |
| Health Plan | $27 | 1139% |
| Healthscope Benefits | $27 | 1139% |
| Insurance Management Admi | $27 | 1139% |
| Jefferson National | $27 | 1139% |
| John Alden Health Ins | $27 | 1139% |
| John Hancock | $27 | 1139% |
| Liberty Mutual | $27 | 1139% |
| Mailhandlers Benefit Plan | $27 | 1139% |
| Manhattan Life Ins Co | $27 | 1139% |
| Mega Life And Health | $27 | 1139% |
| Msa Careguard | $27 | 1139% |
| Mutual Of Omaha | $27 | 1139% |
| Nalc Health Benefit Plan | $27 | 1139% |
| Naphcare Inc. | $27 | 1139% |
| New Era Life Ins Co | $27 | 1139% |
| Physicians Mutual | $27 | 1139% |
| Principal Financial Group | $27 | 1139% |
| Prudential Healthcare | $27 | 1139% |
| Self Pay | $27 | 1139% |
| State Farm | $27 | 1139% |
| State Farm Insurance | $27 | 1139% |
| State Mutual Insurance Co | $27 | 1139% |
| Sterling Investors Life | $27 | 1139% |
| Tower Life | $27 | 1139% |
| Transamerica Premier Ins | $27 | 1139% |
| United American | $27 | 1139% |
| United Comm Travelers | $27 | 1139% |
| United Teachers | $27 | 1139% |
| Usable Administrator | $27 | 1139% |
| Visn 16 Cfu | $27 | 1139% |
| Wausau Benefits | $27 | 1139% |
| Webtpa | $27 | 1139% |
| Wells Fargo | $27 | 1139% |
| Woodmen Of The World | $27 | 1139% |