CMS Price Transparency Data

Blood test, hemoglobin

Facility: University Hospitals Conneaut Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $26
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 10.97x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at University Hospitals Conneaut Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 10.97x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $35 (1477%)
Insurance Median: $26 (1097%)
Cash: $35 (1477% of Medicare)
Ins. Median: $26 (1097% 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 1097% of the Medicare baseline (a markup of 997%). 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
Blue Cross Blue Shield $3 - $45 127%
University Health Employee Plan (Contigo) $3 127%
Aetna $6 - $26 253%
Cigna $15 - $35 633%
Devoted $15 633%
Humana $15 633%
Medical Mutual Of Ohio $15 - $44 633%
Molina $15 633%
Paramount $15 633%
Perennial Advantage Of Ohio $15 633%
Primetime Health Plan $15 633%
Summacare $15 - $24 633%
The Health Plan $15 - $31 633%
UnitedHealthcare $15 - $58 633%
Valor Health Plans $15 633%
Wellcare By Allwell $15 633%
Amish Aid Community Plan $22 928%
Amish Church Fund And Workers Aid Plan $22 928%
Buckeye Plain Ministries $22 928%
Jp Farley $22 928%
Clarity $23 970%
Christian Healthcare Ministries $24 1013%
Immergrun $24 1013%
Sunrise Plan Communities $24 1013%
Ambetter / Centene $26 1097%
Aultcare $26 1097%
Caresource $26 1097%
Healthsmart $31 1308%
Ohio Health Choice $31 - $42 1308%
Medical Mutual Traditional/Health Ohio $33 1392%
Beech Street $38 - $42 1603%
Ohio Preferred Network $38 - $42 1603%
First Health $39 1646%
Century Health Network $40 1688%
Private Healthcare System $40 1688%
Configurenet $42 1772%
Fortified Provider Network $42 1772%
Multiplan $42 1772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals