CMS Price Transparency Data

Blood test, hemoglobin

Facility: Shriners Hospitals for Children

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $3
Cash Discount Price: $20
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Shriners Hospitals for Children is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 950 West Faris Road, Greenville, SC.

Cash / Self-Pay

$20

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: $20 (844%)

Insurance Median: $3 (127%)

Cash: $20 (844% 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.

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
Ambetter / Centene	$2 - $4	84%
Amerihealth Caritas Nc	$3 - $4	127%
Amerihealth Caritas Sc	$3	127%
Amerihealth Mercy Health Plans	$3	127%
Blue Cross Blue Shield	$3 - $19	127%
Caresource Of Ga	$3	127%
Cigna	$3	127%
Humana	$3	127%
Molina Healthcare Of Sc	$3	127%
Providence Health Plan	$3	127%
Sana Benefits	$3	127%
Select Health Of Sc	$3	127%
Wellcare Of Ga	$3	127%
Alliance Health Tailored Plan	$4	169%
UnitedHealthcare	$4	169%
Wellcare Of Nc	$4	169%

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 $20.
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 Shriners Hospitals for Children 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.