CMS Price Transparency Data

Blood test, hemoglobin

Facility: Moberly Regional Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $61
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 25.74x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Moberly Regional Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 25.74x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $85 (3586%)
Insurance Median: $61 (2574%)
Cash: $85 (3586% of Medicare)
Ins. Median: $61 (2574% 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 2574% of the Medicare baseline (a markup of 2474%). 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.

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 Access $2 84%
Blue Cross Blue Shield $2 - $80 84%
Blue Preferred $2 84%
Medicaid / KanCare $2 - $4 84%
Medicare (plans) $2 84%
Node Devoted Health Mcr Adv $2 84%
Node Va $2 84%
Pathway/Pathway X $2 84%
Tricare $2 84%
UnitedHealthcare $2 - $173 84%
Veterans Eval Services $2 84%
Centurion Correctional $3 127%
Corizon $3 127%
Us Department Of Labor $3 127%
Healthscope Benefits $4 169%
Home State Health Plan $4 169%
Naphcare $4 169%
United Behavioral Health Mcd $45 1899%
Self Pay $61 - $108 2574%
Cigna $70 2954%
Access Health Services, Llc $147 6203%
Aetna $149 - $181 6287%
Healthlink $158 - $181 6667%
Blue Traditional $161 - $169 6793%
Multiplan Primary $169 7131%
Coventry Wc $181 7637%
Multiplan $183 7722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals