CMS Price Transparency Data
Blood test, hemoglobin
Facility: Boston Children's Hospital
Billing Code: 85018 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7
about 3.5× the $2 Medicare rate · typically $3–$12
modeled estimate · not a bill or quote
Medicare pays $2 Fair price $7 Cash price $39 Hospital's list price $39
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $23 - $33 | 970% |
| Blue Cross Blue Shieldmajor | $8 - $26 | 338% |
| Aetnamajor | $23 - $33 | 970% |
| Cignamajor | $33 - $35 | 1392% |
| Humanamajor | $35 | 1477% |
| Ambetter (Centene) | $25 | 1055% |
| CDPHP | $19 - $33 | 802% |
| Harvard Pilgrim | $20 - $26 | 844% |
| Tufts Health Plan | $24 | 1013% |
| UniCare | $9 | 380% |
| + 8 smaller / regional plans | $24 - $35 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Boston Children's Hospital
Compare: Blood test, hemoglobin at other MA hospitals
- Boston Medical Center · Boston $2
- Boston Medical Center-Brighton · Brighton $2
- Southcoast Hospitals Group · Fall River $2
- Milford Regional Medical Center · Milford $2
- Good Samaritan Medical Center · Brockton $2
- UMass Memorial Healthalliance Hospitals · Leominster $3
- UMass Memorial Health - Harrington Hospital · Southbridge $3
- Holyoke Medical Center · Holyoke $3
Insurance negotiated median for the same procedure, sorted lowest first.