CMS Price Transparency Data

Blood test, hemoglobin

Facility: Holland Community Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Holland Community Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$10

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: $10 (422%)
Insurance Median: $4 (169%)
Cash: $10 (422% 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
Aetna $2 - $3 84%
Blue Care Network - All Plans $2 84%
Blue Cross Blue Shield $2 - $3 84%
Cigna $2 - $7 84%
Health Alliance Mcr Adv $2 84%
Life Circles-All Plans $2 84%
Meridian Mcaid Profee Only-All Plans $2 84%
Molina Mcaid - All Plans $2 - $5 84%
Ph Mcaid $2 - $5 84%
Ph Mcr Adv $2 84%
Priority Health - All Other Plans $2 - $8 84%
UnitedHealthcare $2 - $50 84%
Va Ccn - All Plans $2 84%
Cofinity -All Plans $3 127%
First Health-All Plans $3 - $15 127%
Longevity Health Plan-All Plans $3 127%
Asr - All Plans $4 169%
Health Alliance Ahl - All Other Plans $4 169%
Health Alliance Hmo $4 169%
Sisco Epi $4 169%
Sisco-All Other Plans $4 169%
Benefit Source Inc-All Plans $14 - $15 591%
Multiplan - All Plans $14 - $15 591%
Usa Managed Care-All Plans $14 - $15 591%
Integrated Health Plans-All Plans $15 - $16 633%
Nomi Health - All Plans $84 3544%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals