CMS Price Transparency Data

Blood test, hemoglobin

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 85018 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$19
about 9.5× the $2 Medicare rate · typically $3–$23
modeled estimate · not a bill or quote
Medicare pays $2 Fair price $19 Cash price $16 Hospital's list price $27

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $14 - $19 591%
Blue Cross Blue Shieldmajor $13 - $20 549%
Aetnamajor $26 1097%
Cignamajor $22 928%
Humanamajor $23 970%
Amerigroup $2 84%
Quartz $15 633%
Security Health Plan $5 211%
UCare $14 - $22 591%
+ 4 smaller / regional plans $13 - $38
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals