CMS Price Transparency Data
Blood test, hemoglobin
Facility: Pender Memorial Hospital
Billing Code: 85018 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$21
about 10.5× the $2 Medicare rate · typically $5–$28
modeled estimate · not a bill or quote
Medicare pays $2 Fair price $21 Cash price $21 Hospital's list price $48
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $23 - $47 | 970% |
| Blue Cross Blue Shieldmajor | $8 - $46 | 338% |
| Aetnamajor | $9 - $54 | 380% |
| Cignamajor | $9 - $28 | 380% |
| Humanamajor | $8 - $55 | 338% |
| Ambetter (Centene) | $12 - $24 | 506% |
| AmeriHealth | $9 - $18 | 380% |
| CareSource | $12 - $26 | 506% |
| WellCare | $9 - $18 | 380% |
| + 7 smaller / regional plans | $8 - $62 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pender Memorial Hospital
Compare: Blood test, hemoglobin at other NC hospitals
- Memorial Mission Hospital and Asheville Surgery Ce · Asheville $2
- Rutherford Regional Medical Center · Rutherfordton $2
- Harris Regional Hospital · Sylva $2
- Sampson Regional Medical Center · Clinton $2
- Columbus Regional Healthcare System · Whiteville $2
- Wakemed, Raleigh Campus · Raleigh $2
- Betsy Johnson Regional Hospital · Dunn $2
- The McDowell Hospital · Marion $2
Insurance negotiated median for the same procedure, sorted lowest first.