CMS Price Transparency Data

Blood test, hemoglobin

Facility: Medical City Lewisville

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Medical City Lewisville is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$273

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: $273 (11519%)
Insurance Median: $4 (169%)
Cash: $273 (11519% 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
Cook Childrens Health Plan $1 42%
Aetna $2 - $199 84%
American Health Plan Of Texas, Inc. $2 84%
Amerigroup $2 84%
Blue Cross Blue Shield $2 - $121 84%
Care N Care $2 84%
Cigna $2 - $38 84%
Devoted Health $2 84%
Humana $2 - $26 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 - $19 84%
Texas Health Network $2 84%
Triwest Health Alliance $2 84%
United $2 - $54 84%
Wellcare $2 84%
Wellmed $2 84%
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 - $219 169%
Corvel Corporation $5 211%
Molina Healthcare $6 253%
Oscar $6 253%
Unicare $66 - $273 2785%
Healthcare Highways $67 - $92 2827%
Evry Health $71 2996%
City Of Mckinney $123 5190%
Fidelis Securecare $123 5190%
National Choicecare $137 5781%
Pc Texas Partners $150 6329%
Physicians Coop Of Tx $150 6329%
Rockport Health Group $150 6329%
Averde Health, Inc $159 6709%
Usc Health Services $164 6920%
Coastal Comp Health Networks $191 8059%
Jostens $191 8059%
Mega Life $191 8059%
Multiplan Phcs $191 8059%
Healthsmart Preferred Care $205 8650%
Lewisville Isd/Dls Consulting $205 8650%
Galaxy Health Network $232 9789%
Independent Medical Systems $273 11519%
National Healthcare Solutions $273 11519%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals