CMS Price Transparency Data

Blood test, hemoglobin

Facility: Leconte Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Leconte Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 742 Middlecreek Road, Sevierville, TN.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $7 (295%)
Insurance Median: $3 (127%)
Cash: $7 (295% 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.

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
Wellpoint $1 - $3 42%
UnitedHealthcare $2 - $3 84%
Aetna $3 127%
Blue Cross Blue Shield $3 - $5 127%
Cigna $3 - $5 127%
Devoted Health $3 127%
Farm Bureau $3 127%
Humana $3 127%
Tricare $3 127%
Wellcare $3 127%
Ehn $11 464%
Correctional Medical Services $14 591%
Community Services Network $16 675%
Usa Managed Care Organization $17 717%
Novanet $18 759%
Direct Care America $19 802%
Medsave Usa $19 802%
National Provider Network $19 802%
Beech Street $20 844%
Ccn Managed Care $20 844%
Initial Group $21 886%
Galaxy Health Network $22 928%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 742 Middlecreek Road, Sevierville, TN 37862
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals