CMS Price Transparency Data

Blood test, hemoglobin

Facility: Blount Memorial Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $4
Cash Discount Price: $12
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Blount Memorial Hospital is $4. 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 1.69x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$12

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: $12 (506%)

Insurance Median: $4 (169%)

Cash: $12 (506% of Medicare)

Ins. Median: $4 (169% 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
Golden Rule Insurance Company [2991]	$1	42%
Oxford Health Plans [2992]	$1	42%
UnitedHealthcare	$1 - $3	42%
Blue Cross Blue Shield	$2	84%
Cigna	$2 - $3	84%
Humana	$2	84%
Medicare (plans)	$2	84%
Mvp Health Care [3037]	$2	84%
Tricare	$2	84%
Medicaid / KanCare	$3 - $4	127%
Ambetter / Centene	$4	169%
Consociate Health Contracted [4835]	$5	211%
Fairos/Occunet Contracted [4837]	$5	211%
Prisma Health Seniorcare Pace - Midlands [5400]	$9	380%
Prisma Health Seniorcare Pace-Upstate [5200]	$9	380%
Promise Health Plan Contracted [2401]	$14 - $24	591%
Orangeburg Senior Helping Center Pace [5401]	$16	675%
Bob Jones Univ-Pai [821]	$24	1013%
Preferred Administrators Contracted [2839]	$28	1181%
Atlantic Packaging Contracted [4833]	$30	1266%
Medcost [2940]	$30 - $33	1266%
Aps Healthcare System [2981]	$32	1350%
Aetna	$36	1519%
Meritain Health Contracted [2200]	$36	1519%
Multiplan/Phcs Contracted [2950]	$36	1519%
Nippon [2300]	$36	1519%
Vsp Vision Care [2986]	$36	1519%
First Health Contracted [2952]	$37	1561%
Furman Int/Allen University Student [2951]	$37	1561%
Quiktrip-First Health [3067]	$37	1561%

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 $12.
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 Blount Memorial Hospital 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.