CMS Price Transparency Data

Blood test, hemoglobin

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $21
Cash Discount Price: $41
vs. Medicare Baseline: 8.86x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Memorial Hospital for Cancer and Allied Diseases is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 8.86x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $41 (1730%)

Insurance Median: $21 (886%)

Cash: $41 (1730% of Medicare)

Ins. Median: $21 (886% 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 886% of the Medicare baseline (a markup of 786%). 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
Cigna	$8	338%
Oxford	$9	380%
UnitedHealthcare	$9	380%
Aetna	$12 - $16	506%
Emblem	$15 - $23	633%
Empire	$16 - $20	675%
Healthfirst	$17 - $36	717%
Magnacare	$26 - $33	1097%
Metroplus	$27	1139%
Urn	$29	1224%
6 Degrees Health	$32	1350%
Fidelis	$34 - $41	1435%
Multiplan	$37	1561%

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 $41.
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 Memorial Hospital for Cancer and Allied Diseases 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.