CMS Price Transparency Data

Blood test, hemoglobin

Facility: Munson Healthcare Grayling Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Munson Healthcare Grayling Hospital is $4. 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 1.69x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $4 (169%)
Cash: $22 (928% of Medicare)
Ins. Median: $4 (169% 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.

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
Blue Cross Blue Shield $1 - $3 42%
Mclaren Health Plan $1 - $15 42%
Meridian $1 42%
Molina $1 - $3 42%
Priority Health $1 - $8 42%
UnitedHealthcare $1 - $16 42%
Aetna $2 - $20 84%
Atrium King Centre Skilled Nursing Services $2 84%
Blue Care Network $2 84%
Cigna $2 - $8 84%
Cofinity $2 - $20 84%
Hap (Health Alliance Plan) $2 - $21 84%
Humana $2 84%
Medicare (plans) $2 84%
Michigan Amish Medical Board $2 84%
Northern Michigan Mennonite Group $2 84%
Promedica $2 84%
Wellcare (Meridian) $2 84%
Wellspring Lutheran Services Skilling Nursing Services $2 84%
Employee Benefits Logistics $4 169%
Hospice Of Michigan $16 675%
Munson Hospice $18 - $852 759%
Asr/Physicians Care $21 886%
Medical Cost Savings Solution $21 886%
Nomi Health $21 886%
The Robbins Group And Regency Employee Benefits $21 886%
Wds Enterprise Group Planning $21 886%
First Health/Coventry Network $22 928%
Provider Network Of America Group Health $22 928%
Three Rivers Provider Network $22 928%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals