CMS Price Transparency Data

Blood test, hemoglobin

Facility: NYU Langone Hospitals

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $6
Cash Discount Price: $3
vs. Medicare Baseline: 2.53x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at NYU Langone Hospitals is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 2.53x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

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: $3 (127%)

Insurance Median: $6 (253%)

Cash: $3 (127% of Medicare)

Ins. Median: $6 (253% 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 253% of the Medicare baseline (a markup of 153%). 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
Centerlight	$2	84%
Fidelis	$2 - $170	84%
Ghi	$2 - $13	84%
Healthfirst	$2 - $170	84%
Healthplus	$2 - $170	84%
Hip	$2 - $91	84%
Medicare (plans)	$2	84%
Wellcare	$2	84%
Metroplus	$3 - $170	127%
Oxford	$3	127%
UnitedHealthcare	$3 - $170	127%
1199	$4	169%
Hamaspik	$4	169%
Cigna	$5	211%
Aetna	$6 - $21	253%
Blue Cross Blue Shield	$6 - $8	253%
Magnacare	$10 - $24	422%
Multiplan	$16	675%
Medicaid / KanCare	$32 - $76	1350%
Somos	$33 - $102	1392%
Amida	$81 - $83	3418%

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 $3.
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 NYU Langone Hospitals 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.