CMS Price Transparency Data

Blood test, hemoglobin

Facility: Artesia General Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $47
Cash Discount Price: $33
vs. Medicare Baseline: 19.83x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Artesia General Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 19.83x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $33 (1392%)

Insurance Median: $47 (1983%)

Cash: $33 (1392% of Medicare)

Ins. Median: $47 (1983% 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 1983% of the Medicare baseline (a markup of 1883%). 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	$2 - $40	84%
Geha	$2 - $54	84%
Humana	$2 - $3	84%
Molina Healthcare Of New Mexico	$2 - $4	84%
Presbyterian Health Plan	$2 - $4	84%
Triwest	$2	84%
UnitedHealthcare	$2 - $57	84%
Vistacare Hospice	$2	84%
Zelis	$2 - $27	84%
First Health	$4 - $60	169%
New Mexico Health Connections	$4	169%
Providence Risk & Insurance Services	$5 - $64	211%
Omni Networks	$36 - $47	1519%
Three Rivers Provider Network	$39 - $50	1646%
Cigna	$44 - $60	1857%
Galaxy Health	$47 - $60	1983%
Multiplan	$47 - $61	1983%
One Health Plan	$47 - $60	1983%
United Payors & United Providers	$48 - $62	2025%

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 $33.
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 Artesia General Hospital 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.