CMS Price Transparency Data

Blood test, hemoglobin

Facility: De Tar Hospital Navarro

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at De Tar Hospital Navarro is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $84 (3544%)
Insurance Median: $4 (169%)
Cash: $84 (3544% 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.

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
Aetna $2 - $189 84%
American Health Mcr Adv $2 84%
Blue Cross Blue Shield $2 - $69 84%
Humana $2 84%
Medicaid / KanCare $2 - $7 84%
Medicare (plans) $2 84%
Node Amerigroup Mcr Adv $2 84%
Node Hospice Non Par Agree $2 84%
Node Procare Mcr Adv $2 84%
Node Triwest $2 84%
Node Va $2 84%
Provider Partners Health Plan $2 84%
Scott & White $2 84%
Superior $2 - $5 84%
Tricare $2 - $3 84%
UnitedHealthcare $2 - $94 84%
Veterans Eval Services $2 84%
Department Of Veterans Affairs $3 127%
Industrial Rehab $3 127%
Node Us Dept Of Labor $3 127%
Node Brookshire Brothers $4 169%
Node Brookshire Brothers Work Comp Tx $4 169%
Amerigroup $5 211%
Elap $5 211%
Work Comp $5 211%
Dars $76 3207%
Tx Workforce Commission $76 3207%
Cigna $79 - $142 3333%
Healthsmart $182 - $232 7679%
Multiplan $215 - $265 9072%
First Health $225 9494%
Medcorp Southwest Inc $232 9789%
Sane $250 10549%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals