CMS Price Transparency Data

Blood test, hemoglobin

Facility: Prisma Health Oconee Memorial Hospital

Billing Code: 85018 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2
about 1.0× the $2 Medicare rate · typically $2–$4
modeled estimate · not a bill or quote
What this hospital charges insurers
$3
Above the fair price
about $1 over the fair price · 1.5× Medicare
Medicare pays $2 Fair price $2 This hospital $3 Cash price $47 Hospital's list price $72

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $2 Priciest $3

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, hemoglobin is about $2 (about 1.0× the $2 Medicare rate). Prisma Health Oconee Memorial Hospital charges insurers about $3, or about $47 in cash — above the fair price. Located in Seneca, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2 - $3 84%
Blue Cross Blue Shieldmajor $2 - $25 84%
Aetnamajor $2 - $57 84%
Cignamajor $2 - $14 84%
Humanamajor $2 - $3 84%
Ambetter (Centene) $4 169%
Molina $3 127%
MVP Health Care $14 591%
WellCare $2 84%
+ 23 smaller / regional plans $2 - $67
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 298 Memorial Dr, Seneca, SC 29672
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals