CMS Price Transparency Data

Blood test, hemoglobin

Facility: Medical Center of McKinney

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $388
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Medical Center of McKinney is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $388. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$388

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: $388 (16371%)
Insurance Median: $4 (169%)
Cash: $388 (16371% 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 - $282 84%
American Health Plan Of Texas, Inc. $2 84%
Amerigroup $2 84%
Blue Cross Blue Shield $2 - $172 84%
Care N Care $2 84%
Cigna $2 - $311 84%
Devoted Health $2 84%
Humana $2 - $252 84%
Integranet $2 84%
Molina $2 - $3 84%
Mutual Of Omaha $2 84%
Parkland Community Health Plan $2 84%
Procare Advantge $2 84%
Superior Health Plan $2 - $27 84%
Triwest Veterans $2 84%
United $2 - $73 84%
Wellcare $2 84%
Wellmed $2 84%
Cenpatico $3 127%
Imperial Insurance Company $3 127%
Provider Partners Health Plan $3 127%
Texas Independent Health Plan $3 127%
Universal Healthcare Group $3 127%
Verda Health Plan $3 127%
Bravo Health $4 169%
Superior $4 - $5 169%
Usa Managed Care $4 - $311 169%
Corvel Corporation $5 211%
Molina Healthcare $6 253%
Oscar $6 253%
Healthcare Highways $95 - $131 4008%
Evry Health $100 4219%
Unicare $101 - $388 4262%
City Of Mckinney $136 5738%
Fidelis Securecare $175 7384%
National Choicecare $194 8186%
Pc Texas Partners $213 8987%
Physicians Coop Of Tx $213 8987%
Rockport Health Group $213 8987%
Averde Health, Inc $225 9494%
Magellan Bh $233 9831%
Value Options Behavioral Health $233 9831%
Coastal Comp Health Networks $272 11477%
Mega Life $272 11477%
Multiplan Phcs $272 11477%
Lewisville Isd/Dls Consulting $291 12278%
Compsych Corporation $311 13122%
Healthsmart Preferred Care $311 13122%
Galaxy Health Network $330 13924%
Independent Medical Systems $388 16371%
National Healthcare Solutions $388 16371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals