CMS Price Transparency Data

Blood test, hemoglobin

Facility: Mid-Columbia Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $20
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 8.44x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Mid-Columbia Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 8.44x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $12 (506%)
Insurance Median: $20 (844%)
Cash: $12 (506% of Medicare)
Ins. Median: $20 (844% 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 844% of the Medicare baseline (a markup of 744%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $128 84%
Community Hp Mcr Adv - All Plans $2 84%
Healthnet Mcr Adv $2 - $5 84%
Humana $2 84%
Moda Mcr Adv $2 84%
Molina Mcr Adv $2 - $4 84%
Tricare $2 84%
Va Ccn Triwest - All Plans $2 - $6 84%
Molina - All Other Plans $3 - $4 127%
Devoted Mcr Adv - All Plans $4 - $44 169%
Employee Health Plan - All Plans $4 - $6 169%
Molina Mcaid $4 - $21 169%
First Choice - All Plans $6 - $38 253%
Amerigroup Mcaid - All Plans $8 - $21 338%
Coordinated Care Mcaid - All Plans $8 - $21 338%
Norocor - All Plans $20 844%
UnitedHealthcare $21 - $38 886%
Moda Health Plan - All Other Plans $27 - $48 1139%
Healthscape - All Plans $32 1350%
Coventry - All Plans $36 1519%
First Health - All Plans $36 1519%
Aetna $37 1561%
Cigna $38 1603%
Multiplan/Phcs - All Plans $38 1603%
Providence Ppo - All Plans $38 - $58 1603%
Trpn - Three Rivers - All Plans $38 1603%
Ahp - Americas Hlth Plan - All Plans $39 1646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals