CMS Price Transparency Data

Blood test, hemoglobin

Facility: Ascension St John Jane Phillips

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Ascension St John Jane Phillips is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 3500 East Frank Phillips Boulevard, Bartlesville, OK.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $15 (633%)
Insurance Median: $3 (127%)
Cash: $15 (633% of Medicare)
Ins. Median: $3 (127% 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.

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 $2 - $52 84%
Champva $2 84%
Community Care - St John Network Senior - Govt $2 84%
Communitycare Senior $2 84%
Humana $2 84%
Life Pace $2 84%
Longevity Health Plan Of Oklahoma $2 84%
Medicare (plans) $2 84%
UnitedHealthcare $2 84%
Va Community Care Network $2 84%
Veterans Administration $2 84%
Ccl&H $3 127%
Community Care (Select) 7/1/13 $3 127%
Communitycare (Standard) $3 127%
First Health $3 - $26 127%
Smarthealth $3 127%
Aetna $4 - $6 169%
Community Care Smarthealth $4 - $6 169%
Communitycare (Select) $4 - $5 169%
Connect Health Benefit $5 211%
Evolutions $5 211%
Kempton Group Administrators $5 211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 East Frank Phillips Boulevard, Bartlesville, OK 74006
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals