CMS Price Transparency Data

Blood test, hemoglobin

Facility: Hillcrest Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $108
Cash Discount Price: $57
vs. Medicare Baseline: 45.57x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Hillcrest Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 45.57x the Medicare baseline. Located in 1120 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $57 (2405%)

Insurance Median: $108 (4557%)

Cash: $57 (2405% of Medicare)

Ins. Median: $108 (4557% 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 4557% of the Medicare baseline (a markup of 4457%). 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
Black Lung [6055]	$48	2025%
Healthcare Highways [2210]	$48 - $74	2025%
Hooray Health [8000]	$48	2025%
Lucent Health [6000]	$48	2025%
Oncology Patient Assistance Programs [2295]	$48	2025%
Oscar Insurance Company [7005]	$48	2025%
Osma Health Network [2345]	$48	2025%
Healthscope Benefits [2290]	$61	2574%
UnitedHealthcare	$61	2574%
Resource One Administrators [2815]	$74	3122%
Web Tpa [2115]	$74	3122%
The Kempton Group Administrators [2905]	$86	3629%
National Association Of Letter Carriers [1695]	$99	4177%
Pba [1775]	$99	4177%
Medica [2910]	$108	4557%
Multiplan [1680]	$108 - $164	4557%
Employee Benefit Management Services [2445]	$139	5865%
Phcs [1780]	$139 - $164	5865%
Administrative Concepts [1005]	$164	6920%
Allied Benefit Systems Inc [1030]	$164	6920%
Allied National Global Care [1035]	$164	6920%
Healthcost Solutions [2415]	$164	6920%
Healthfirst [2395]	$164	6920%
Hometown Health [2155]	$164	6920%
Mayo Clinic Health Solutions [2280]	$164	6920%
Mutual Of Omaha [1685]	$164	6920%
New Era Life Insurance Company [1705]	$164	6920%
Pan American Life Insurance Co [1770]	$164	6920%
Planned Administrators Inc [2360]	$164	6920%
Trustmark [2030]	$164	6920%
Universal Fidelity [2085]	$164	6920%
Pending Ssi [1616]	$191	8059%

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 $57.
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 Hillcrest 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.