CMS Price Transparency Data

Blood test, hemoglobin

Facility: HCA Houston Healthcare West

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $286
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at HCA Houston Healthcare West is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $286. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$286

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: $286 (12068%)
Insurance Median: $3 (127%)
Cash: $286 (12068% 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
Aetna $2 - $16 84%
American Health Plan $2 84%
Amerigroup $2 84%
Blue Cross Blue Shield $2 - $100 84%
Chc Harris Health $2 84%
Cigna $2 - $229 84%
Community Health Choice Mcd $2 84%
Devoted Health $2 84%
Humana $2 - $32 84%
Integranet Amerigroup Ipa $2 84%
Kelsey Seybold $2 84%
Molina Healthcare $2 - $5 84%
Oscar $2 - $7 84%
Procare Advantage $2 84%
Renaissance Ipa Radiology $2 84%
Shared Health $2 84%
Superior Health Plan $2 - $17 84%
Texas Childrens Health Plans $2 - $47 84%
Texas Health Network $2 84%
Triwest Healthcare Alliance $2 84%
United $2 - $129 84%
Van Lang Ipa $2 84%
Wellcare $2 84%
Wellmed $2 84%
Christus (Usfhp) $3 127%
Community Health Choice $3 127%
Molina $3 127%
Provider Partners Health Plan Of Texas $3 127%
Superior $3 - $4 127%
Triwest Health Alliance $3 127%
Universal Healthcare Group $3 127%
Verda Health Plan $3 127%
Corvel Corporation $5 211%
Omni Healthcare $5 211%
Healthcare Highways $7 295%
Texas Workforce Commission $69 2911%
Evry Health $78 3291%
Imagine Health $100 4219%
Healthsmart Preferred Care $123 - $243 5190%
Averde Health $129 5443%
Fidelis Securecare Of Tx $129 5443%
Coventry National First Health $152 6414%
Physicians Cooperative Of Texas $157 6624%
Rockport Workers Comp $157 6624%
Independent Medical System $172 7257%
National Healthcare Solutions $172 7257%
Southwest Medical $172 7257%
Triumph $172 7257%
Coastal Comp $186 7848%
Multiplan $214 - $243 9030%
Physicians, Inc $243 10253%
Affiliated Ppo $257 10844%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals