CMS Price Transparency Data

Blood test, hemoglobin

Facility: Merit Health River Region

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Merit Health River Region is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$2

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: $22 (928%)
Insurance Median: $2 (84%)
Cash: $22 (928% of Medicare)
Ins. Median: $2 (84% 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 - $6 84%
Caresource Truecare $2 84%
Department Of Veterans Affairs $2 84%
First Choice $2 - $69 84%
Humana $2 84%
Magnolia $2 84%
Magnolia Mcd Chip $2 84%
Medicaid / KanCare $2 84%
Medicare (plans) $2 84%
Molina Chip $2 84%
Node Devoted Health Mcr Adv $2 84%
Node First Choice American Health Of Ms Mcr Adv $2 84%
Node First Choice Wellcare Mcr Adv $2 84%
Node Hospice Non Par Agree $2 84%
Node Magnolia Mcr Adv $2 84%
Node Molina Mcr Adv $2 84%
Node Peoples Health Mcr Adv $2 84%
Node Va $2 84%
Node Vantage Mcr Adv $2 84%
Node Windsor Mcr Adv $2 84%
Tricare $2 84%
UnitedHealthcare $2 - $13 84%
Veterans Eval Services $2 84%
Node Healthy Mississippi Mcr Adv $3 127%
Node Us Dept Of Labor $3 127%
Advanced Health Systems $4 169%
Magnolia Exchange $4 169%
Molina Exchange $4 169%
Ms Work Comp $4 169%
Node Seven Corners $4 169%
Blue Cross Blue Shield $5 211%
Vantage Commercial $5 211%
Self Pay $17 - $28 717%
Medpartners $18 759%
Trimed Billing Solutions $28 1181%
Cigna $38 - $64 1603%
First Choice Mpcn Standard $51 2152%
Phcs $55 2321%
Ms Health Partners $69 2911%
Ms Dept Of Rehabilitation Services $92 3882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals