CMS Price Transparency Data

Blood test, hemoglobin

Facility: Southern Hills Hospital and Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $2
Cash Discount Price: $161
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Southern Hills Hospital and Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $161 (6793%)

Insurance Median: $2 (84%)

Cash: $161 (6793% 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.

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
Alignment Health Plan	$2	84%
Ambetter / Centene	$2	84%
Blue Cross Blue Shield	$2 - $3	84%
Caremore	$2	84%
Caresource	$2	84%
Community Care Health	$2	84%
Health Net	$2	84%
Health Services Coalition	$2	84%
Hometown Health Mcr	$2	84%
Humana	$2	84%
Molina Healthcare	$2	84%
Select Health	$2 - $37	84%
Sierra	$2	84%
Sierra Hpn	$2	84%
Triwest	$2	84%
United	$2 - $35	84%
Imperial Nv	$3	127%
Universal Healthcare	$3	127%
Aetna	$4	169%
Cigna	$6	253%
Corvel	$6	253%
Olympus Medsave Usa	$6 - $121	253%
Prominence Healthfirst	$48	2025%
Cmn Global	$68	2869%
Evernorth	$80	3376%
Hometown Health Providers	$80	3376%
Nv Health & Welfare Trust	$97	4093%
Multiplan	$101 - $118	4262%
First Health	$106 - $129	4473%
Medcare International	$121	5105%

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 $161.
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 Southern Hills Hospital and Medical Center 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.