CMS Price Transparency Data

Blood test, hemoglobin

Facility: Livingston Healthcare

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $20
Cash Discount Price: $22
vs. Medicare Baseline: 8.44x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Livingston Healthcare is $20. 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 8.44x the Medicare baseline. Located in 320 Alpenglow Lane, Livingston, MT.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $20 (844%)

Cash: $22 (928% of Medicare)

Ins. Median: $20 (844% 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 844% of the Medicare baseline (a markup of 744%). 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
Blue Cross Blue Shield	$10 - $37	422%
Humana	$10 - $20	422%
UnitedHealthcare	$10 - $35	422%
Pacificsource Mcr	$11 - $22	464%
Allegiance - All Plans	$17 - $35	717%
First Choice/Hin - All Plans	$17 - $35	717%
Interwest Ppo - All Other Plans	$17 - $35	717%
Pacificsource - All Other Plans	$17 - $34	717%
Coventry - All Plans	$18 - $36	759%
Interwest Trad	$18 - $36	759%

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 $22.
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 Livingston Healthcare 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.