CMS Price Transparency Data

Blood test, hemoglobin

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $3
Cash Discount Price: $22
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Surgical Specialty Center of Baton Rouge is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $22 (928%)

Insurance Median: $3 (127%)

Cash: $22 (928% of Medicare)

Ins. Median: $3 (127% 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.

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
Uhc_Commcoffee	$1	42%
Aetna	$2	84%
Amerihealth	$2	84%
Blue Cross Blue Shield	$2 - $3	84%
Cigna	$2	84%
Healthy_Blue	$2	84%
Humana	$2 - $4	84%
Lhc	$2	84%
Medadv-Peoples	$2	84%
Medicaid / KanCare	$2	84%
Medicare (plans)	$2	84%
United	$2	84%
UnitedHealthcare	$2	84%
United_Caid	$2	84%
Va	$2	84%
Wellcare	$2	84%
Lucent	$3	127%
Verity	$3	127%
Ambetter / Centene	$4	169%
Workcomp_Saints	$5	211%
Lsufirst	$6	253%
Gilsbar	$14	591%
Multiplan-Pos	$17	717%
Multiplan-Ppo	$17	717%
Ppoplus	$18	759%
Stjude	$19	802%
Bayou-Med	$20	844%
Dma	$20	844%
Lsu	$20	844%
Southern-Univ	$20	844%
Womans_Hosp	$20	844%
Reny	$22	928%
Ehn	$23	970%
Workcomp_3R	$23	970%
Three_Rivers	$25	1055%
Workcomp_Strat	$25	1055%
Geha	$26	1097%
Workcomp_Fp	$26	1097%
Usa_Mco	$27	1139%

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 $22.
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 Surgical Specialty Center of Baton Rouge 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.