CMS Price Transparency Data

Blood test, hemoglobin

Facility: Lafollette Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Lafollette Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$2

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: $26 (1097%)
Insurance Median: $2 (84%)
Cash: $26 (1097% of Medicare)
Ins. Median: $2 (84% 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.

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
Amerigroup $1 42%
Medicaid / KanCare $1 - $2 42%
UnitedHealthcare $1 - $85 42%
Aetna $2 - $53 84%
Blue Cross Blue Shield $2 - $15 84%
Humana $2 84%
Medicare (plans) $2 84%
Node Amerigroup Mcr Adv $2 84%
Node Blueadvantage Mcr Adv $2 84%
Node Bluecare Plus Tn Mcr Adv $2 84%
Node Champva $2 84%
Node Devoted Health Mcr Adv $2 84%
Node Farm Bureau Mcr Adv $2 84%
Node Healthspring Mcr Adv $2 84%
Node Hospice Non Par Agree $2 84%
Node Va $2 84%
Node Wellcare Mcr Adv $2 84%
Tricare $2 84%
Triwest $2 84%
Veterans Eval Services $2 84%
Wellcare $2 84%
Windsor Health Plan $2 84%
Node Nhc Mcr Adv $3 127%
Node Us Dept Of Labor $3 127%
Ambetter / Centene $4 169%
Cigna $4 169%
Novanet Work Comp Tn $4 169%
Tn Work Comp $4 169%
Bluecare $5 - $6 211%
Node Point Comfort Underwriters $5 211%
Self Pay $24 1013%
Multiplan Complementary $65 2743%
Beech Street Work Comp Tn $352 14852%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals