CMS Price Transparency Data

Blood test, hemoglobin

Facility: Cedar City Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $97
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 40.93x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Cedar City Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 40.93x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $81 (3418%)
Insurance Median: $97 (4093%)
Cash: $81 (3418% of Medicare)
Ins. Median: $97 (4093% 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 4093% of the Medicare baseline (a markup of 3993%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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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 - $104 84%
American Health $2 84%
Blue Cross Blue Shield $2 - $103 84%
Health Choice $2 - $96 84%
Health Partners Of Nevada $2 84%
Health Plan Of Nevada $2 - $96 84%
Healthy U $2 - $96 84%
Humana $2 84%
Molina $2 - $103 84%
Selecthealth $2 - $97 84%
Southwest Behavioral Health $2 84%
Triwest $2 84%
UnitedHealthcare $2 - $97 84%
Corporation Of The President $81 3418%
Corvel Corporation $81 3418%
Injury Care Of Nevada $81 3418%
Wcf Insurance $81 3418%
Byu Risk Management $92 3882%
Awh Connected $97 - $98 4093%
Byu Athletic Department $97 4093%
Campbell Scientific $97 4093%
Deseret Mutual $97 4093%
Emi $97 4093%
Emi Health $97 4093%
Franklin County $97 4093%
Global Excel $97 4093%
Ifit $97 4093%
Juniper Systems $97 4093%
Lw Miller $97 4093%
Managed Care Admin $97 4093%
Medcare International $97 4093%
Motivhealth $97 4093%
Pehp $97 - $103 4093%
Prodegi Corp Benefit $97 4093%
Tanner Llc $97 4093%
Uofu $97 - $103 4093%
Utah Tech $97 4093%
Wise Network $97 4093%
Cigna $103 4346%
Health Utah $103 4346%
Hygeia Corporation $103 4346%
Springtide $103 4346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals