CMS Price Transparency Data

Blood test, hemoglobin

Facility: Fort Sanders Regional Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $2
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Fort Sanders Regional Medical Center is $2. 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 0.84x the Medicare baseline. Located in 1901 W Clinch Ave, Knoxville, TN.
Cash / Self-Pay
$7

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: $7 (295%)
Insurance Median: $2 (84%)
Cash: $7 (295% 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
Wellpoint $1 - $2 42%
Aetna $2 - $3 84%
Blue Cross Blue Shield $2 - $5 84%
Cigna $2 - $5 84%
Devoted Health $2 84%
Farm Bureau $2 84%
Humana $2 84%
Tricare $2 84%
UnitedHealthcare $2 84%
Wellcare $2 84%
Ehn $11 464%
Correctional Medical Services $14 591%
Community Services Network $16 675%
Usa Managed Care Organization $17 717%
Beech Street $18 759%
Novanet $18 759%
Direct Care America $19 802%
Medsave Usa $19 802%
National Provider Network $19 802%
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: 1901 W Clinch Ave, Knoxville, TN 37916
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals