Blood antibody screen
Facility: Ohio Valley Surgical Hospital
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $4,022
- Cash Discount Price: $61
- vs. Medicare Baseline: 75.54x 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 $53.24 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 7554% of the Medicare baseline (a markup of 7454%). 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 | $2 - $40,293 | 4% |
| UnitedHealthcare | $12 - $17,571 | 23% |
| Ngs Coresource | $14 - $20,896 | 26% |
| Nippon Life | $14 - $20,896 | 26% |
| Meritain Heatlh | $14 - $20,896 | 26% |
| Geha | $14 - $20,896 | 26% |
| Genworth | $14 - $20,896 | 26% |
| Mhbp | $14 - $20,896 | 26% |
| Personify Health | $14 - $20,896 | 26% |
| Aetna | $14 - $20,896 | 26% |
| Pacific Source | $14 - $20,896 | 26% |
| Mail Handlers | $14 - $20,896 | 26% |
| Meritain | $14 - $20,896 | 26% |
| Mmoh | $46 - $11,885 | 86% |
| Mmo Cin. HMO | $47 - $64 | 88% |
| Mmoh (Supermed) | $47 | 88% |
| American Republic | $51 - $11,885 | 96% |
| Wraparound Pl Supp | $51 - $11,885 | 96% |
| Molina Marketplace | $51 - $11,885 | 96% |
| Cigna | $51 - $18,817 | 96% |
| Aarp Supplemental | $51 - $11,885 | 96% |
| Champus | $51 - $11,885 | 96% |
| Bankers Life and Casualty | $51 - $11,885 | 96% |
| Everest | $51 - $11,885 | 96% |
| Aultcare Primetime Health Plan | $51 - $11,885 | 96% |
| Gateway Health Plan | $51 - $11,885 | 96% |
| Communicare Advantage | $51 - $11,885 | 96% |
| Molina McR+McD | $51 - $11,885 | 96% |
| Aarp | $51 - $11,885 | 96% |
| Prosperity Supplement | $51 - $11,885 | 96% |
| Molina McR McD | $51 - $11,885 | 96% |
| American Retirement | $51 - $11,885 | 96% |
| Molina Dual McR | $51 - $11,885 | 96% |
| Molina McR | $51 - $11,885 | 96% |
| Wellcare By Allwell | $51 - $11,885 | 96% |
| Bankers Fidelity | $51 - $11,885 | 96% |
| American Continental Insurance | $51 - $11,885 | 96% |
| Molina | $51 - $11,885 | 96% |
| Patient No Pay | $51 - $11,885 | 96% |
| Self Pay Imaging | $51 - $11,885 | 96% |
| American Continental Life | $51 - $11,885 | 96% |
| Medigold | $51 - $11,885 | 96% |
| Humana | $51 - $11,919 | 96% |
| Central States | $51 - $11,885 | 96% |
| Molina Dual McR | $51 - $11,885 | 96% |
| Medicare (plans) | $51 - $12,264 | 96% |
| The Health Plan | $53 - $12,479 | 100% |
| Devoted Health | $56 - $13,707 | 105% |
| Employer Direct | $59 - $15,703 | 111% |
| Caresourse | $76 - $17,827 | 143% |
| Medicaid / KanCare | $76 - $17,827 | 143% |
| Caresource | $76 - $17,827 | 143% |
| Sbma | $81 - $18,817 | 152% |
| Healthgram | $81 - $18,817 | 152% |
| Samba | $81 - $18,817 | 152% |
| Nalc | $81 - $18,817 | 152% |
| Unified Group | $81 - $18,817 | 152% |
| Ohio Health | $92 | 173% |
| Preferred Health | $92 | 173% |
| Medben | $92 | 173% |
| Luminare Health | $92 | 173% |
| Amerihealth Caritas of Ohio | $3,657 | 6869% |
| Buckeye Community Health Plan | $4,022 | 7554% |
| Molina McD | $4,084 | 7671% |
| Ushealth | $17,571 | 33003% |
| Golden Rule | $17,571 | 33003% |
| Surest | $17,571 | 33003% |
| Oxford | $17,571 | 33003% |
| Shl | $17,571 | 33003% |
| Medica | $17,571 | 33003% |