CMS Price Transparency Data

Blood test, hemoglobin

Facility: Ascension Seton Hays

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $4
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Ascension Seton Hays is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.69x the Medicare baseline. Located in 6001 Kyle Pkwy, Kyle, TX.
Cash / Self-Pay
$38

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: $38 (1603%)
Insurance Median: $4 (169%)
Cash: $38 (1603% 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
Aarp Mc Wellmed $2 84%
Addr Cancer Together $2 84%
Aetna $2 - $18 84%
Ambetter / Centene $2 - $4 84%
Blue Cross Blue Shield $2 - $11 84%
Connected Senior Care $2 84%
Covid Hrsa $2 84%
Cshcn Cidc $2 84%
Dell Chip/Chip Perinate $2 - $6 84%
Dell Star $2 - $6 84%
Devoted Health Mcr Replacement $2 84%
Humana $2 - $4 84%
Medicare (plans) $2 84%
Pphp Mcr Advantage $2 84%
Research Study $2 84%
Sendero Chap $2 84%
Smarthealth $2 84%
Superior Allwell $2 84%
Tricare $2 84%
Tx Independence Hp $2 84%
UnitedHealthcare $2 - $6 84%
Utmb $2 84%
Wellcare Med Advantage $2 84%
Wellpoint Chip/Chip Perinate $2 84%
Wellpoint Star $2 - $6 84%
Wellpoint Star Kids $2 84%
Wellpoint Star Plus $2 - $6 84%
Champva $3 127%
Occunet $3 127%
Sendero Idealcare $4 169%
Cigna $6 253%
Seton Performance Plus $6 253%
Covenant Health $13 549%
Superior Star $40 - $44 1688%
Superior Star Foster $40 - $44 1688%
Superior Star Kids $40 - $44 1688%
Superior Star Plus $40 - $44 1688%
Superior Chip/Chip Perinate $45 - $50 1899%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6001 Kyle Pkwy, Kyle, TX 78640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals