CMS Price Transparency Data

Blood test, hemoglobin

Facility: Neshoba County General Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Neshoba County General Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $13 (549%)
Insurance Median: $3 (127%)
Cash: $13 (549% of Medicare)
Ins. Median: $3 (127% 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
Humana $2 84%
Magnolia Mcaid $2 84%
Magnolia Mcr Adv-All Other Plans $2 84%
Molina Comm-All Other Plans $2 84%
Molina Mcaid $2 84%
Molina Mcr Adv $2 84%
Mpcn Mcaid $2 84%
Tricare $2 84%
UnitedHealthcare $2 - $10 84%
Wellcare Mcr Adv-All Plans $2 84%
First Choice Comm Ip/Op Only - All Plans $3 127%
Aetna $10 422%
Cigna $12 506%
Ahs Ip/Op Only-All Plans $14 591%
Blue Cross Blue Shield $15 633%
Affordable Health Care-All Plans $16 675%
Health Choice Ip/Op Only-All Plans $16 675%
Health Link Ip/Op Only-All Plans $16 675%
Geha-All Plans $17 717%
Multiplan-All Plans $17 717%
Mpcn Ip/Op Only-All Other Plans $24 1013%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL