CMS Price Transparency Data

Blood test, hemoglobin

Facility: Arbor Health Morton Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $24
Cash Discount Price: $32
vs. Medicare Baseline: 10.13x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Arbor Health Morton Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 10.13x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $32 (1350%)

Insurance Median: $24 (1013%)

Cash: $32 (1350% of Medicare)

Ins. Median: $24 (1013% 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 1013% of the Medicare baseline (a markup of 913%). 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
Comm Health Healthy Options	$8 - $31	338%
Kaiser Mcaid	$8 - $31	338%
UnitedHealthcare	$8 - $57	338%
Aetna	$9 - $62	380%
Amerigroup Mcr Adv	$9 - $33	380%
Amerigroup-All Other Plans	$9 - $32	380%
Comm Health Mcr Adv	$9 - $33	380%
Healthnet Mcr Adv - All Plans	$9 - $33	380%
Humana	$9 - $33	380%
Mcr Railroad Mcr Adv - All Plans	$9 - $33	380%
Medicare (plans)	$9 - $33	380%
Molina Mcr Adv	$9 - $34	380%
Premera Hmo Mcr Adv	$9 - $33	380%
Regence Blue Shield Mcr Adv	$9 - $33	380%
Rural Health Mcare - All Plans	$9 - $33	380%
Wellcare Mcr Adv - All Plans	$9 - $34	380%
Molina Marketplace-All Other Plans	$11 - $42	464%
Regence Blue Shield Ump-All Other Plans	$13 - $50	549%
Kaiser Comm-All Other Plans	$15 - $56	633%
Comm Health Basic Sub - All Other Plans	$16 - $60	675%
Comm Health Pebb	$16 - $60	675%
Molina Mcaid	$16 - $59	675%
Premera First-All Other Plans	$17 - $64	717%
Cigna	$18 - $66	759%
First Choice-All Plans	$18 - $66	759%

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 $32.
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 Arbor Health Morton 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.