CMS Price Transparency Data

Blood test, hemoglobin

Facility: Saint Mary's Regional Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Saint Mary's Regional Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$2

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: $2 (84%)
Insurance Median: $3 (127%)
Cash: $2 (84% 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
Access To Healthcare Network $1 42%
Aetna $2 - $6 84%
Alignment $2 84%
Blue Cross Blue Shield $2 84%
Health Plan Of Nevada $2 84%
Medicaid / KanCare $2 84%
Medicare (plans) $2 84%
Molina Healthcare Of Nv $2 84%
Saint Mary Health Plan $2 - $3 84%
Sierra $2 84%
Silver Summit $2 - $4 84%
Tricare $2 84%
Triwest $2 84%
UnitedHealthcare $2 - $3 84%
Employer Direct $3 127%
Home Town Test $3 127%
Naphcare $3 127%
Occunet $3 - $51 127%
Pam $3 127%
Veterans Evaluation Service Ves $3 127%
Asserta Health $4 169%
Imperial Insurance Company $4 169%
Nevada Health Partners $4 169%
6 Degrees $5 211%
Custom Ink $5 211%
Nv Preferred $5 211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals