CMS Price Transparency Data
Blood test, hemoglobin
Facility: Mount Carmel East & West
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $7
- Cash Discount Price: $981
- vs. Medicare Baseline: 2.95x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Mount Carmel East & West is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $981. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 2.95x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$981
Average discount available for prompt cash payment at this facility.
Insurance Median
$7
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: $981 (41392%)
Insurance Median: $7 (295%)
Cash: $981 (41392% of Medicare)
Ins. Median: $7 (295% 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 295% of the Medicare baseline (a markup of 195%). 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.
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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 - $207 | 84% |
| Blue Benefit Administrators Of Massachusetts | $2 - $765 | 84% |
| Blue Care Network | $2 - $765 | 84% |
| Blue Cross Blue Shield | $2 - $765 | 84% |
| Blue Distinction Transplant | $2 - $765 | 84% |
| Blue Shield - Ca | $2 - $765 | 84% |
| Blue Shield - Id (Regence) | $2 - $765 | 84% |
| Blue Shield - Ny Highmark Northeastern | $2 - $765 | 84% |
| Blue Shield - Ny Highmark Western | $2 - $765 | 84% |
| Blue Shield - Pa (Highmark) | $2 - $765 | 84% |
| Blue Shield - Wa (Regence) | $2 - $765 | 84% |
| Hospice Mount Carmel | $2 - $201 | 84% |
| Medicare (plans) | $2 - $211 | 84% |
| Oscar | $2 - $562 | 84% |
| Rural Carrier Health Benefit Plan | $2 | 84% |
| The Health Plan | $2 - $205 | 84% |
| UnitedHealthcare | $2 - $201 | 84% |
| Medical Mutual | $4 - $700 | 169% |
| Custom Design Benefits | $5 - $421 | 211% |
| Enterprise Group Planning | $5 - $388 | 211% |
| Quality Care Partners | $5 - $455 | 211% |
| Western & Southern Financial Group | $6 - $700 | 253% |
| Access Health | $7 | 295% |
| Acclaim | $7 | 295% |
| Administrative Concepts | $7 | 295% |
| Allegeant | $7 | 295% |
| Allied Benefit Systems | $7 | 295% |
| American Family | $7 | 295% |
| American Healthcare Alliance | $7 | 295% |
| American National | $7 | 295% |
| American Republic | $7 | 295% |
| Amerihealth | $7 | 295% |
| Aultcare | $7 | 295% |
| Automated Benefit Services | $7 | 295% |
| Auxiant | $7 | 295% |
| Benefit Administrative Systems,Llc | $7 | 295% |
| Boon Chapman | $7 | 295% |
| Cam Administrative Services | $7 | 295% |
| Christian Brother Services | $7 | 295% |
| Christian Brothers Holy Cross | $7 | 295% |
| Claimchoice Adminstrators | $7 | 295% |
| Comprehensive Benefits | $7 | 295% |
| Continental Life Insurance | $7 | 295% |
| Coventry | $7 | 295% |
| Custom Benefit Administrators | $7 | 295% |
| Cypress Benefit Administrators | $7 | 295% |
| Employee Benefit Concepts | $7 | 295% |
| Employee Benefit Management | $7 | 295% |
| Forest County Potawatomi | $7 | 295% |
| Freedom Life Insurance Company | $7 | 295% |
| Geha | $7 - $69 | 295% |
| Gravie Admin Services | $7 | 295% |
| Group Administrators | $7 | 295% |
| Group Marketing Services | $7 | 295% |
| Group Pension Administrators | $7 | 295% |
| Guardian | $7 | 295% |
| Health America | $7 | 295% |
| Health Choices | $7 | 295% |
| Healthcare Management Admin | $7 | 295% |
| Healthez | $7 | 295% |
| Insight | $7 | 295% |
| Intercare | $7 | 295% |
| Jfp Benefit Management | $7 | 295% |
| Jp Farley Corporation | $7 | 295% |
| Key Benefit Administrator | $7 | 295% |
| Liberty Union Life Assurance Co | $7 | 295% |
| Lucent Health | $7 | 295% |
| Luminare Health | $7 | 295% |
| Magnacare | $7 | 295% |
| Medcost | $7 | 295% |
| Meritain | $7 | 295% |
| Mutual Health Services | $7 | 295% |
| Mutual Of Omaha | $7 | 295% |
| Ncas | $7 | 295% |
| Nippon Life Ins | $7 | 295% |
| Nova | $7 | 295% |
| Painters Union Insurance Fund | $7 | 295% |
| Physicians Mutual | $7 | 295% |
| Plumbers Local 98 Insurance Fund | $7 | 295% |
| Prairie States | $7 | 295% |
| Preferred One | $7 | 295% |
| Primary Physician Care | $7 | 295% |
| Professional Benefit Administrators | $7 | 295% |
| Secureone Preferred United Plans | $7 | 295% |
| Siho Insurance Services | $7 | 295% |
| Sisco Benefits | $7 | 295% |
| The Loomis Company | $7 | 295% |
| Trustmark Small Business Benefits | $7 | 295% |
| U Of M Health Plan | $7 | 295% |
| Unicare | $7 | 295% |
| Unified Group Services | $7 | 295% |
| Us Health And Life | $7 | 295% |
| Valenz | $7 | 295% |
| Varipro | $7 | 295% |
| Webtpa | $7 | 295% |
| Wps | $7 | 295% |
| First Health | $8 | 338% |
| Humana | $8 - $15 | 338% |
| Consociate | $9 | 380% |
| Health Ohio Network | $9 | 380% |
| Medben | $9 - $11 | 380% |
| American Postal Workers Secondary | $10 | 422% |
| Cigna | $10 | 422% |
| Health Partners | $10 | 422% |
| Healthgram | $10 | 422% |
| Mvp | $10 | 422% |
| Priority Health | $10 | 422% |
| Caresource | $11 | 464% |
| Healthlink Inc | $11 | 464% |
| Medical Benefits Mutual | $11 | 464% |
| Ohio Health Choice | $11 | 464% |
| Ohio Ppo Connect | $11 | 464% |
| Ameriben | $12 | 506% |
| Luminare Health (Detroit) | $12 | 506% |
| Medi Share | $12 | 506% |
| Multiplan | $12 | 506% |
| Ohiohealthy | $12 | 506% |
| Osu Not Independent Choice | $12 | 506% |
| Phcs | $12 | 506% |
| Philadelphia American Life Insurance | $12 | 506% |
| Twin Valley Psychiatric | $12 | 506% |
| Health Smart | $13 | 549% |
| Bccp | $15 | 633% |
| Medicaid / KanCare | $15 | 633% |
| Optima Health | $15 | 633% |
| Crime Victim Assistance | $632 | 26667% |
| Ohio Safe Program | $632 | 26667% |