CMS Price Transparency Data

Blood test, hemoglobin

Facility: Hillcrest Hospital South

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $68
Cash Discount Price: $35
vs. Medicare Baseline: 28.69x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Hillcrest Hospital South is $68. 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 28.69x the Medicare baseline. Located in 8801 South 101St East Avenue, Tulsa, OK.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $68 (2869%)

Cash: $35 (1477% of Medicare)

Ins. Median: $68 (2869% 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 2869% of the Medicare baseline (a markup of 2769%). 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
Healthcare Highways [2210]	$29 - $49	1224%
Hooray Health [8000]	$29	1224%
Oncology Patient Assistance Programs [2295]	$29	1224%
Oscar Insurance Company [7005]	$29	1224%
Osma Health Network [2345]	$29	1224%
Healthscope Benefits [2290]	$41	1730%
UnitedHealthcare	$41	1730%
Cigna	$45	1899%
National Association Of Letter Carriers [1695]	$45	1899%
Pba [1775]	$45	1899%
Resource One Administrators [2815]	$49	2068%
Web Tpa [2115]	$49	2068%
The Kempton Group Administrators [2905]	$52	2194%
Medica [2910]	$68	2869%
Multiplan [1680]	$68 - $92	2869%
Community Care [1290]	$86	3629%
Employee Benefit Management Services [2445]	$86	3629%
Phcs [1780]	$86 - $92	3629%
Administrative Concepts [1005]	$92	3882%
Allied Benefit Systems Inc [1030]	$92	3882%
Allied National Global Care [1035]	$92	3882%
Healthcost Solutions [2415]	$92	3882%
Healthfirst [2395]	$92	3882%
Hometown Health [2155]	$92	3882%
Mayo Clinic Health Solutions [2280]	$92	3882%
Mutual Of Omaha [1685]	$92	3882%
New Era Life Insurance Company [1705]	$92	3882%
Pan American Life Insurance Co [1770]	$92	3882%
Planned Administrators Inc [2360]	$92	3882%
Trustmark [2030]	$92	3882%
Universal Fidelity [2085]	$92	3882%

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 $35.
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 Hospital South 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.