CMS Price Transparency Data

Blood test, hemoglobin

Facility: Sunrise Hospital and Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Sunrise Hospital and Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$12

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: $12 (506%)
Insurance Median: $2 (84%)
Cash: $12 (506% 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
Blue Cross Blue Shield $1 - $3 42%
Community Care Health $1 - $2 42%
Humana $1 - $3 42%
Molina Healthcare $1 - $2 42%
Sierra Hpn $1 - $2 42%
United $1 - $107 42%
Aetna $2 - $4 84%
Alignment Health Plan $2 84%
Ambetter / Centene $2 84%
Amerigroup $2 84%
Caremore $2 84%
Caresource $2 84%
Cigna $2 - $6 84%
Health Net $2 84%
Health Plan Nevada $2 84%
Health Services Coalition $2 84%
Hometown Health Mcr $2 84%
Molina $2 84%
Select Health $2 - $118 84%
Sierra $2 - $3 84%
Silver Summit $2 84%
Triwest Healthcare Alliance $2 84%
Imperial Nv $3 127%
Universal Healthcare $3 127%
Legacy Provider Network $4 169%
Comp-Med Workers Comp $5 211%
Corvel $5 - $6 211%
Olympus Medsave Usa $5 - $384 211%
Prominence Healthfirst $142 - $154 5992%
Cmn Global $199 - $215 8397%
Hometown Health Providers $237 - $256 10000%
Nv Health & Welfare Trust $284 - $307 11983%
Multiplan $299 - $374 12616%
First Health $313 - $410 13207%
Medcare International $356 - $384 15021%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals