Blood test, hemoglobin
Facility: Christus Santa Rosa Medical Center
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $9
- Cash Discount Price: $33
- vs. Medicare Baseline: 3.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 380% of the Medicare baseline (a markup of 280%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Texas Healthspring | $1 | 42% |
| Aetna | $2 - $5 | 84% |
| Allwell | $2 | 84% |
| Blue Cross Blue Shield | $2 - $9 | 84% |
| Christus Health | $2 - $3 | 84% |
| Community First | $2 - $13 | 84% |
| Coventry | $2 | 84% |
| Driscoll Children'S Health Plan | $2 | 84% |
| El Paso First | $2 | 84% |
| First Care | $2 | 84% |
| Humana | $2 - $6 | 84% |
| Molina | $2 | 84% |
| Provider Partners Health Plan | $2 | 84% |
| Shared Health Insurance Company | $2 | 84% |
| Superior | $2 | 84% |
| Texas Childrens Health Plan | $2 | 84% |
| Texas Independence Health Plan | $2 | 84% |
| Triwest | $2 | 84% |
| UnitedHealthcare | $2 - $10 | 84% |
| Wellcare | $2 | 84% |
| Amerigroup | $3 - $13 | 127% |
| Devoted Health Plan | $3 | 127% |
| Employer Direct | $3 | 127% |
| Gilsbar Inc. | $3 | 127% |
| Imperial Health Plan | $3 | 127% |
| Medicare (plans) | $3 | 127% |
| Procare Advantage | $3 | 127% |
| Us Imaging Network | $3 | 127% |
| Naphcare Inc. | $5 | 211% |
| Cigna | $9 - $12 | 380% |
| Community First Health Plan | $41 - $48 | 1730% |
| Healthcare Highways | $42 - $50 | 1772% |
| Christian Brothers Services | $52 - $60 | 2194% |
| First Health | $61 - $72 | 2574% |
| Healthsmart | $61 - $88 | 2574% |
| Multiplan | $61 - $72 | 2574% |
| Phcs | $61 - $72 | 2574% |
| Five Point Credit Union | $66 - $77 | 2785% |
| Medicus Internatiaonal | $70 - $82 | 2954% |
| Beech Street | $75 - $88 | 3165% |
| Health Management Network | $75 - $88 | 3165% |
| Provider Select | $75 - $88 | 3165% |
| National Choicecare | $89 - $104 | 3755% |