CMS Price Transparency Data

Blood test, hemoglobin

Facility: Ohiohealth Morrow County Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $13
Cash Discount Price: $22
vs. Medicare Baseline: 5.49x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Ohiohealth Morrow County Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 5.49x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $22 (928%)

Insurance Median: $13 (549%)

Cash: $22 (928% of Medicare)

Ins. Median: $13 (549% 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 549% of the Medicare baseline (a markup of 449%). 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
Blue Cross Blue Shield	$3 - $13	127%
Medicaid / KanCare	$10 - $11	422%
UnitedHealthcare	$10 - $28	422%
Amerihealth Caritas - All Plans	$11	464%
Humana	$11 - $32	464%
Aetna	$13 - $30	549%
Medicare (plans)	$13	549%
Caresource Marketplace - All Other Plans	$16	675%
Molina Exchange - All Other Plans	$17	717%
Medical Mutual Of Ohio Marketplace	$26	1097%
Ohiohealthy Network - All Other Plans	$26	1097%
Ohiohealthy Preferred	$26	1097%
Medical Mutual Of Ohio Comm - All Other Plans	$28	1181%
Medical Mutual Of Ohio - Admin Serv	$29	1224%
Cigna	$32	1350%
Phcs - All Plans	$32	1350%
Beech Street - All Plans	$33	1392%
Healthstar Comm - All Plans	$33	1392%
Multiplan - All Plans	$33	1392%

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 $22.
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 Ohiohealth Morrow County Hospital 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.