CMS Price Transparency Data

Blood test, hemoglobin

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $33
Cash Discount Price: $41
vs. Medicare Baseline: 13.92x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 13.92x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $41 (1730%)

Insurance Median: $33 (1392%)

Cash: $41 (1730% of Medicare)

Ins. Median: $33 (1392% 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 1392% of the Medicare baseline (a markup of 1292%). 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
Blue Cross Blue Shield	$2 - $12	84%
Group Health Cooperative Of Eau Claire	$2 - $42	84%
Humana	$2 - $39	84%
Managed Health Services	$2 - $3	84%
Molina Healthcare Of Wi	$2 - $37	84%
My Choice	$2	84%
Network Health Plan	$2 - $37	84%
Quartz	$2 - $25	84%
Security Health Plan (Shp)	$2 - $25	84%
Trilogy	$2 - $40	84%
UnitedHealthcare	$2 - $8	84%
Veteran'S Administration (Va Ccn)	$2	84%
Icare	$3	127%
The Alliance	$21 - $22	886%
Amish/Mennonite	$23 - $24	970%
Wps Health Insurance	$28 - $30	1181%
Cigna	$29 - $33	1224%
Health Payment Systems	$29 - $31	1224%
First Health	$36 - $37	1519%
Healtheos By Multiplan Inc.	$39 - $42	1646%
Coventry	$40 - $42	1688%
Health Partners	$40 - $42	1688%

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 $41.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.