CMS Price Transparency Data

Blood test, hemoglobin

Facility: Baylor Scott & White Heart & Vascular Hospital - Dallas

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $11
Cash Discount Price: $40
vs. Medicare Baseline: 4.64x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Baylor Scott & White Heart & Vascular Hospital - Dallas is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 4.64x the Medicare baseline. Located in 621 North Hall Street, Dallas, TX.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $40 (1688%)

Insurance Median: $11 (464%)

Cash: $40 (1688% of Medicare)

Ins. Median: $11 (464% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 464% of the Medicare baseline (a markup of 364%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $37	84%
American Health Plan	$2	84%
Baylor Scott & White Health Plan	$2 - $39	84%
Blue Cross Blue Shield	$2 - $12	84%
Corvel	$2	84%
Healthspring	$2	84%
Humana	$2 - $47	84%
Prime Health Services	$2	84%
Procare Advantage	$2	84%
Superior Health Plan	$2 - $5	84%
Triwest	$2	84%
UnitedHealthcare	$3 - $11	127%
Ambetter / Centene	$5	211%
Cigna	$33 - $39	1392%
Employers Health Network	$37	1561%
Quiktrip	$37	1561%
University Of Mary Hardin-Baylor	$39	1646%
Imagine Health	$42	1772%
Curative	$44	1857%
First Health	$47	1983%
Healthsmart	$47 - $50	1983%
Private Health Care System	$50	2110%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $40.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Heart & Vascular Hospital - Dallas is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85018.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.