CMS Price Transparency Data

Blood test, hemoglobin

Facility: Methodist McKinney Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $3
Cash Discount Price: $47
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Methodist McKinney Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $47 (1983%)

Insurance Median: $3 (127%)

Cash: $47 (1983% 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.

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 - $9	84%
American Health Advantage Of Texas [7099]	$2	84%
Blue Cross Blue Shield	$2 - $3	84%
Cigna	$2 - $3	84%
Globalhealth [1003]	$2	84%
Medicare (plans)	$2 - $3	84%
Procare Advantage [7018]	$2	84%
UnitedHealthcare	$2 - $3	84%
Ust Health Proof [1005]	$2	84%
Wellcare [7016]	$2	84%
Alternative Service Concepts [8005]	$3	127%
Bright Healthcare [2222]	$3	127%
Humana	$3	127%
Molina [3017]	$3	127%
Oscar Insurance Company [2057]	$3	127%
Provider Partners Health Plan [7025]	$3	127%
Southwestern Health Resources Swhr [7015]	$3	127%
90 Degree Benefit [3057]	$4	169%
Allied National [2031]	$4	169%
Ambetter / Centene	$4	169%
Entrust/90 Degree [2058]	$4	169%
Friday Health Plan [2061]	$4	169%
Imperial Insurance Companies [3073]	$4	169%
Wellpoint Marketplace Exchange [3071]	$4	169%
Evry Health [1013]	$5	211%
Sana Benefits [3069]	$5	211%
Velocity [3070]	$5	211%
Web Tpa [3049]	$8 - $9	338%

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 $47.
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 Methodist McKinney Hospital 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.