CMS Price Transparency Data

Blood test, hemoglobin

Facility: Poplar Bluff Regional Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Poplar Bluff Regional Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$44

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: $44 (1857%)
Insurance Median: $4 (169%)
Cash: $44 (1857% 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
Access Health Services, Llc $1 - $205 42%
Cigna $1 - $288 42%
Evolutions Healthcare $1 - $196 42%
Healthlink $1 - $225 42%
Parker Hannifin $1 - $252 42%
Tyson Foods $1 - $198 42%
UnitedHealthcare $1 - $194 42%
Blue Access $2 84%
Blue Cross Blue Shield $2 - $93 84%
Blue Traditional $2 - $278 84%
Centurion Correctional $2 - $3 84%
Compresults Wc $2 - $324 84%
Coventry Wc $2 - $288 84%
First Health $2 - $234 84%
Humana $2 84%
Medicaid / KanCare $2 - $72 84%
Medicare (plans) $2 84%
Multiplan $2 - $313 84%
Municipal Health $2 - $288 84%
Node Ahs Mcr Adv $2 84%
Node Champva $2 84%
Node Devoted Health Mcr Adv $2 84%
Node Hospice Non Par Agree $2 84%
Node United Behavioral Health Mcr Adv $2 84%
Node Va $2 84%
Phcs $2 - $313 84%
Tricare $2 84%
Veterans Eval Services $2 84%
Node Pphp Mcr Adv $3 127%
Us Department Of Labor $3 127%
Naphcare $4 169%
Home State Exchange $6 253%
W W Wood $6 253%
Self Pay $10 - $86 422%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals