CMS Price Transparency Data

Blood test, hemoglobin

Facility: Centerpoint Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $42
Cash Discount Price: $219
vs. Medicare Baseline: 17.72x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Centerpoint Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 17.72x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$219

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $219 (9241%)

Insurance Median: $42 (1772%)

Cash: $219 (9241% of Medicare)

Ins. Median: $42 (1772% 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 1772% of the Medicare baseline (a markup of 1672%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$1 - $184	42%
Aetna	$2 - $117	84%
Amerigroup	$2	84%
Blue Cross Blue Shield	$2 - $106	84%
Celtic	$2	84%
Coventry	$2 - $92	84%
Devoted Health	$2	84%
Healthyblue	$2	84%
Home State Health Plan	$2	84%
Humana	$2 - $6	84%
Medicaid / KanCare	$2	84%
Unicare	$2	84%
United	$2 - $103	84%
Wellcare	$2	84%
Pyramid Life	$3	127%
Multiplan	$4 - $170	169%
Oscar	$4	169%
Corvel Corporation	$5 - $149	211%
Oha Network	$5 - $115	211%
Ambetter / Centene	$39 - $43	1646%
Nhc Advantage	$40 - $44	1688%
Wppa Providrs Care Network	$42 - $46	1772%
Universal Healthcare	$73 - $80	3080%
Coventry Kc Mo	$86 - $94	3629%
College Park Family Care Center	$90 - $99	3797%
Global Sports Services	$167 - $184	7046%
Cco, Inc.	$178 - $195	7511%
Focus Healthcare Mgmt, Inc	$188 - $207	7932%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $219.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centerpoint Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.