CMS Price Transparency Data

Blood test, hemoglobin

Facility: Alliancehealth Durant

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $2
Cash Discount Price: $86
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Alliancehealth Durant is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 1800 University Boulevard, Durant, OK.

Cash / Self-Pay

$86

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: $86 (3629%)

Insurance Median: $2 (84%)

Cash: $86 (3629% of Medicare)

Ins. Median: $2 (84% 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.

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
Customer Linx	$1 - $314	42%
Aetna	$2 - $445	84%
Blue Cross Blue Shield	$2 - $77	84%
Comprehensive Medical Care	$2 - $471	84%
Department Of Veterans Affairs	$2	84%
First Health	$2 - $418	84%
Healthsmart	$2 - $397	84%
Humana	$2	84%
Medicaid / KanCare	$2	84%
Medicare (plans)	$2	84%
Multiplan Complementary	$2 - $418	84%
Multiplan Primary	$2 - $418	84%
Node Hospice Non Par Agree	$2	84%
Node Sterling Mcr Adv	$2	84%
Node Va	$2	84%
One Health Plan	$2 - $445	84%
Phcs Savility	$2 - $366	84%
Preferred Community Choice Ppo	$2 - $445	84%
Prime Health Services	$2 - $418	84%
Tricare	$2	84%
UnitedHealthcare	$2 - $164	84%
Veterans Eval Services	$2	84%
Healthchoice	$3	127%
Node Us Dept Of Labor	$3	127%
Self Pay	$73	3080%
Cigna	$141 - $160	5949%
Healthcare Highways	$174	7342%

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 $86.
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 Alliancehealth Durant 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.