CMS Price Transparency Data
Blood test, hemoglobin
Facility: Chelsea Hospital
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $18
- Cash Discount Price: $21
- vs. Medicare Baseline: 7.59x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Chelsea Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 7.59x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
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: $21 (886%)
Insurance Median: $18 (759%)
Cash: $21 (886% of Medicare)
Ins. Median: $18 (759% 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 759% of the Medicare baseline (a markup of 659%). 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.
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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% |
| Medicaid / KanCare | $1 | 42% |
| Aetna | $2 - $15 | 84% |
| Align Senior Care | $2 | 84% |
| Angela Hospice | $2 | 84% |
| Arbor Hospice | $2 | 84% |
| Blue Care Network Advantage | $2 | 84% |
| Heartland Hospice | $2 | 84% |
| Medicare (plans) | $2 | 84% |
| UnitedHealthcare | $2 - $22 | 84% |
| Bcn Domestic | $3 | 127% |
| Blue Benefit Administrators Of Massachusetts | $3 | 127% |
| Blue Care Network | $3 | 127% |
| Blue Distinction Transplant | $3 | 127% |
| Blue Shield - Ca | $3 | 127% |
| Blue Shield - Id (Regence) | $3 | 127% |
| Blue Shield - Ny Highmark Northeastern | $3 | 127% |
| Blue Shield - Ny Highmark Western | $3 | 127% |
| Blue Shield - Pa (Highmark) | $3 | 127% |
| Blue Shield - Wa (Regence) | $3 | 127% |
| Cca - Zing Health | $3 | 127% |
| Health Choices | $3 - $21 | 127% |
| Kaiser Domestic | $3 | 127% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $3 | 127% |
| Molina Marketplace | $3 | 127% |
| Geha | $4 - $22 | 169% |
| Health Cost Solutions | $4 | 169% |
| Meritain | $4 | 169% |
| U Of M Health Plan | $4 | 169% |
| Vitalcore | $4 | 169% |
| Wellpath | $4 | 169% |
| Employee Benefit Logistic | $5 | 211% |
| Priority Health | $6 - $7 | 253% |
| Wc Accident Fund | $7 - $8 | 295% |
| Wc Advantage | $7 - $8 | 295% |
| Wc Aig | $7 - $8 | 295% |
| Wc Allied | $7 - $8 | 295% |
| Wc Amerisure | $7 - $8 | 295% |
| Wc Amtrust | $7 - $8 | 295% |
| Wc Asu Risk Mgt | $7 - $8 | 295% |
| Wc Berkley Admin | $7 - $8 | 295% |
| Wc Broadspire | $7 - $8 | 295% |
| Wc Bunch & Associates | $7 - $8 | 295% |
| Wc Ccmsi | $7 - $8 | 295% |
| Wc Emc Insurance Company | $7 - $8 | 295% |
| Wc Esis | $7 - $8 | 295% |
| Wc Fcci | $7 - $8 | 295% |
| Wc Federated | $7 - $8 | 295% |
| Wc Gallagher Bassett | $7 - $8 | 295% |
| Wc Genex Care For Ohio | $7 - $8 | 295% |
| Wc Guard Insurance Company | $7 - $8 | 295% |
| Wc Hartford | $7 - $8 | 295% |
| Wc Liberty Mutual | $7 - $8 | 295% |
| Wc Meijers | $7 - $8 | 295% |
| Wc Michigan | $7 - $8 | 295% |
| Wc Mitchell Frankenmuth | $7 - $8 | 295% |
| Wc Pma | $7 - $8 | 295% |
| Wc Sedgwick | $7 - $8 | 295% |
| Wc Sentry | $7 - $8 | 295% |
| Wc Travelers | $7 - $8 | 295% |
| Wc Tristar | $7 - $8 | 295% |
| Wc Walmart | $7 - $8 | 295% |
| Wc Zurich | $7 - $8 | 295% |
| Asr Health Benefits | $9 | 380% |
| Caresource | $9 | 380% |
| Hap | $9 - $25 | 380% |
| Varipro | $9 | 380% |
| Access Health | $18 - $21 | 759% |
| Acclaim | $18 - $21 | 759% |
| Administrative Concepts | $18 - $21 | 759% |
| Allegeant | $18 - $21 | 759% |
| Ameriben | $18 - $21 | 759% |
| American Family | $18 - $21 | 759% |
| American Healthcare Alliance | $18 - $21 | 759% |
| American National | $18 - $21 | 759% |
| American Republic | $18 - $21 | 759% |
| Amerihealth | $18 - $21 | 759% |
| Aultcare | $18 - $21 | 759% |
| Automated Benefit Services | $18 - $21 | 759% |
| Auxiant | $18 - $21 | 759% |
| Benefit Administrative Systems,Llc | $18 - $21 | 759% |
| Boon Chapman | $18 - $21 | 759% |
| Cam Administrative Services | $18 - $21 | 759% |
| Christian Brother Services | $18 - $21 | 759% |
| Christian Brothers Holy Cross | $18 - $21 | 759% |
| Comprehensive Benefits | $18 - $21 | 759% |
| Continental Life Insurance | $18 - $21 | 759% |
| Coventry | $18 - $22 | 759% |
| Custom Benefit Administrators | $18 - $21 | 759% |
| Employee Benefit Concepts | $18 - $21 | 759% |
| Employee Benefit Management | $18 - $21 | 759% |
| Enterprise Group Planning | $18 - $21 | 759% |
| First Health | $18 - $22 | 759% |
| Freedom Life Insurance Company | $18 - $21 | 759% |
| Group Administrators | $18 - $21 | 759% |
| Group Marketing Services | $18 - $21 | 759% |
| Guardian | $18 - $21 | 759% |
| Health America | $18 - $21 | 759% |
| Healthcare Management Admin | $18 - $21 | 759% |
| Healthez | $18 - $21 | 759% |
| Humana | $18 - $21 | 759% |
| Insight | $18 - $21 | 759% |
| Intercare | $18 - $21 | 759% |
| Jfp Benefit Management | $18 - $21 | 759% |
| Jp Farley Corporation | $18 - $21 | 759% |
| Key Benefit Administrator | $18 - $21 | 759% |
| Liberty Union Life Assurance Co | $18 - $21 | 759% |
| Lucent Health | $18 - $21 | 759% |
| Luminare Health | $18 - $21 | 759% |
| Luminare Health (Detroit) | $18 - $21 | 759% |
| Magnacare | $18 - $21 | 759% |
| Medben | $18 - $21 | 759% |
| Medcost | $18 - $21 | 759% |
| Medical Mutual | $18 - $21 | 759% |
| Mutual Health Services | $18 - $21 | 759% |
| Mutual Of Omaha | $18 - $21 | 759% |
| Ncas | $18 - $21 | 759% |
| Nippon Life Ins | $18 - $21 | 759% |
| Nova | $18 - $21 | 759% |
| Painters Union Insurance Fund | $18 - $21 | 759% |
| Physicians Mutual | $18 - $21 | 759% |
| Plumbers Local 98 Insurance Fund | $18 - $21 | 759% |
| Prairie States | $18 - $21 | 759% |
| Preferred One | $18 - $21 | 759% |
| Primary Physician Care | $18 - $21 | 759% |
| Professional Benefit Administrators | $18 - $21 | 759% |
| Siho Insurance Services | $18 - $21 | 759% |
| Sisco Benefits | $18 - $21 | 759% |
| The Loomis Company | $18 - $21 | 759% |
| Unicare | $18 - $21 | 759% |
| Us Health And Life | $18 - $21 | 759% |
| Valenz | $18 - $21 | 759% |
| Western & Southern Financial Group | $18 - $21 | 759% |
| Wps | $18 - $21 | 759% |
| Cigna | $19 - $23 | 802% |
| Hospice Of Michigan | $19 - $22 | 802% |
| 1199 National Benefit Fund | $20 - $24 | 844% |
| Allied National Global Care | $20 - $24 | 844% |
| Asrm - Reliance Standard Life Insurance | $20 - $24 | 844% |
| Christian Care Ministry | $20 - $24 | 844% |
| Dean Health | $20 - $24 | 844% |
| Fallon Health | $20 - $24 | 844% |
| Family Life Insurance Company | $20 - $24 | 844% |
| Ghc Scw | $20 - $24 | 844% |
| Group Pension Administrators | $20 - $24 | 844% |
| International Benefit Administrators | $20 - $24 | 844% |
| Lifetime Benefit Solutions | $20 - $24 | 844% |
| Manhattan Life | $20 - $24 | 844% |
| Medi Share | $20 - $24 | 844% |
| Multiplan | $20 - $24 | 844% |
| Mvp | $20 - $24 | 844% |
| Pai | $20 - $24 | 844% |
| Pan-American Life | $20 - $24 | 844% |
| Paramount Hmo | $20 - $24 | 844% |
| Phcs | $20 - $24 | 844% |
| Trinity Health Share | $20 - $24 | 844% |
| Health Partners | $21 - $25 | 886% |
| Tufts Health Plan | $21 - $25 | 886% |
| Prime Health Services | $22 - $26 | 928% |
| Three Rivers Provider Network | $24 - $29 | 1013% |
| Cmh Detroit Wayne Integrated Health Network | $27 - $32 | 1139% |
| Cmh Jackson County/Lifeways | $27 - $32 | 1139% |
| Cmh Lenawee County | $27 - $32 | 1139% |
| Cmh Livingston County | $27 - $32 | 1139% |
| Cmh Misc | $27 - $32 | 1139% |
| Cmh Monroe County | $27 - $32 | 1139% |
| Cmh Washtenaw County | $27 - $32 | 1139% |
| Magellan Behavioral Health | $27 - $32 | 1139% |