CMS Price Transparency Data

Blood test, hemoglobin

Facility: Medical City Las Colinas

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $395
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Medical City Las Colinas is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $395. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$395

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: $395 (16667%)
Insurance Median: $3 (127%)
Cash: $395 (16667% 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
Cook Childrens Health Plan $1 42%
Aetna $2 - $288 84%
American Health Plan Of Texas, Inc. $2 84%
Amerigroup $2 84%
Blue Cross Blue Shield $2 - $175 84%
Care N Care $2 84%
Cigna $2 - $55 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 - $28 84%
Triwest Veterans $2 84%
United $2 - $70 84%
Wellcare $2 84%
Wellmed $2 84%
Imperial Insurance Company $3 127%
Provider Partners Health Plan $3 127%
Texas Independent Health Plan $3 127%
Triwest Health Alliance $3 127%
Universal Healthcare Group $3 127%
Verda Health Plan $3 127%
Bravo Health $4 169%
Superior $4 - $5 169%
Usa Managed Care $4 - $316 169%
Corvel Corporation $5 211%
Molina Healthcare $6 253%
Oscar $6 253%
Healthcare Highways $97 - $133 4093%
Evry Health $102 4304%
Unicare $138 - $395 5823%
City Of Mckinney $178 7511%
National Choicecare $197 8312%
Pc Texas Partners $217 9156%
Physicians Coop Of Tx $217 9156%
Rockport Health Group $217 9156%
Averde Health, Inc $229 9662%
Coastal Comp Health Networks $276 11646%
Mega Life $276 11646%
Multiplan Phcs $276 11646%
Healthsmart Preferred Care $280 11814%
Lewisville Isd/Dls Consulting $296 12489%
Usc Health Services $316 13333%
Galaxy Health Network $336 14177%
Independent Medical Systems $395 16667%
National Healthcare Solutions $395 16667%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals