Blood test, hemoglobin
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 85018 (CPT)
- CPT Billing Code: 85018
- Insurance Median: $137
- Cash Discount Price: $183
- vs. Medicare Baseline: 57.81x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 5781% of the Medicare baseline (a markup of 5681%). 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.
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 | $110 | 4641% |
| Americas Choice Provider Network | $128 | 5401% |
| Usa Managed Care Organization | $137 | 5781% |
| Velocity | $137 | 5781% |
| Provider Network Of America | $137 | 5781% |
| Quiktrip Corporation | $137 | 5781% |
| Multiplan-Phcs | $146 | 6160% |
| Prime Health Services | $155 | 6540% |
| Medincrease | $164 | 6920% |
Consumer Guidance & Cost Commentary
For the blood test, hemoglobin (CPT 85018) at the Rehabilitation Hospital Of Overland Park, the cash price is $183.00, which matches the facility's median negotiated rate of $137.00 for in-network payers. While the facility's negotiated rate is lower than its gross charge of $183.00, it is important to note that this rate is significantly higher than the Medicare benchmark of $2.37, reflecting the standard administrative markup inherent in commercial insurance contracts. Patients with high-deductible plans may find the cash price of $183.00 more cost-effective than the negotiated rate of $137.00 if their insurance deductible has not yet been met, as the out-of-pocket cost for the patient would otherwise be the full negotiated amount.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can be confident that they will not be billed for the difference between the provider's full list price and the insurance allowed amount for this service. If you receive an itemized bill, review it carefully to ensure no unbundled codes or services not rendered are included, and request a formal written audit dispute if any errors are found.