CMS Price Transparency Data
Blood test, hemoglobin
Facility: Stoughton Hospital
Billing Code: 85018 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7
about 3.5× the $2 Medicare rate · typically $3–$15
modeled estimate · not a bill or quote
Medicare pays $2 Fair price $7 Cash price $37 Hospital's list price $67
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 | $29 - $54 | 1224% |
| Blue Cross Blue Shieldmajor | $58 | 2447% |
| Aetnamajor | $20 - $57 | 844% |
| Cignamajor | $54 | 2278% |
| Humanamajor | $19 - $60 | 802% |
| Dean Health Plan | $13 - $19 | 549% |
| GEHA | $50 | 2110% |
| Health Net | $18 | 759% |
| Quartz | $19 - $58 | 802% |
| + 2 smaller / regional plans | $2 - $60 |
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Stoughton Hospital
Compare: Blood test, hemoglobin at other WI hospitals
- Thedacare Regional Med Ctr - Neenah · Neenah $2
- St Josephs Community Hospital West Bend · West Bend $2
- Fort Memorial Hospital · Fort Atkinson $2
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $2
- Gundersen Lutheran Medical Center · La Crosse $2
- Unitypoint Health - Meriter · Madison $2
- Sauk Prairie Hospital · Prairie Du Sac $2
- University of Wi Hospitals & Clinics Authority · Madison $2
Insurance negotiated median for the same procedure, sorted lowest first.