CMS Price Transparency Data

Blood test, hemoglobin

Facility: Bellevue Hospital Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $8
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 3.38x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Bellevue Hospital Center is $8. 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 3.38x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $8 (338%)
Cash: $2 (84% of Medicare)
Ins. Median: $8 (338% 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 338% of the Medicare baseline (a markup of 238%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $2 - $7 84%
Blue Cross Blue Shield $2 - $111 84%
Centerlight $2 84%
Centers Plan For Healthy Living $2 84%
Elderplan $2 84%
Fidelis $2 - $111 84%
Hamaspik $2 84%
Healthfirst $2 - $111 84%
Metroplus $2 - $111 84%
Oxford $2 - $3 84%
Magnacare $3 127%
Oscar $3 - $4 127%
United $3 - $62 127%
Villagecare Max $3 - $8 127%
Wellcare $3 127%
Affinity $4 - $111 169%
Local 1199 $4 - $8 169%
Carelon $6 - $49 253%
Cigna $6 253%
Emblem $7 - $66 295%
Multiplan $8 338%
Vnsny $8 - $50 338%
Amidacare $49 2068%
Senior Whole Health $49 2068%
United Behavioral Health $49 - $54 2068%
Carelon (Amida Care) $50 2110%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals