CMS Price Transparency Data

Blood test, hemoglobin

Facility: Fairfield Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $8
Cash Discount Price: $10
vs. Medicare Baseline: 3.38x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Fairfield Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 3.38x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.

Cash / Self-Pay

$10

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: $10 (422%)

Insurance Median: $8 (338%)

Cash: $10 (422% 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.

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
Aetna	$2 - $23	84%
Allied Benefit Systems	$2 - $24	84%
Blue Cross Blue Shield	$2 - $26,250	84%
Buckeye Community Health	$2 - $8	84%
Caresource	$2 - $8	84%
Humana	$2 - $33	84%
Medical Mutual	$2 - $33,500	84%
Medicare (plans)	$2	84%
Medigold	$2	84%
Meritain Health	$2 - $24	84%
Molina	$2 - $8	84%
Oscar	$2	84%
The Health Plan	$2 - $24	84%
UnitedHealthcare	$2 - $16	84%
Va Ccn	$2	84%
Valor Health Plan	$2	84%
Bwc	$3	127%
Quality Care Partners/Ohio Ppo Connect	$7 - $25	295%
Amerihealth Caritas Ohio	$8	338%
Cigna	$8 - $29	338%
Medicaid / KanCare	$8	338%
The Ohio State Health Plan	$8 - $27	338%
Ohio Healthy	$9 - $33	380%
Miscellaneous Plans	$10 - $35	422%
Multiplan	$10 - $33	422%

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 $10.
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 Fairfield Medical Center 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.