CMS Price Transparency Data

Blood test, hemoglobin

Facility: Community Memorial Hospital, Inc

Billing Code: 85018 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13
about 6.5× the $2 Medicare rate · typically $3–$23
modeled estimate · not a bill or quote
Medicare pays $2 Fair price $13 Cash price $25 Hospital's list price $31

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10 - $15 422%
Blue Cross Blue Shieldmajor $10 - $18 422%
Aetnamajor $15 633%
Humanamajor $14 591%
Fidelis Care $8 - $10 338%
MVP Health Care $10 - $14 422%
+ 4 smaller / regional plans $13 - $14

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals