CMS Price Transparency Data

Blood antibody screen

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $35
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Medical West, An Affiliate of UAB Health System is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.66x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $36 (68%)
Insurance Median: $35 (66%)
Cash: $36 (68% of Medicare)
Ins. Median: $35 (66% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $10 - $35 19%
Blue Cross Blue Shield $10 19%
Cigna $10 - $36 19%
Cooper Green $10 19%
Humana $10 - $42 19%
Jefferson County Sheriff $10 19%
Triwest $10 19%
United Mine Workers $10 19%
UnitedHealthcare $10 - $11 19%
Viva $11 - $25 21%
Ambetter / Centene $13 24%
Phcs $28 - $35 53%
Beech Street $29 - $35 54%
One Health Plan $30 - $32 56%
Geha $32 - $35 60%
Healthchoice $32 - $35 60%
Alamed $36 - $39 68%
Construction Claims Management $37 - $40 69%
Corvel $38 - $45 71%
Multiplan $38 - $41 71%
Novanet $38 - $42 71%
Department Of Labor $40 - $44 75%
Heritage Summit Health $40 - $44 75%
Pnoa $41 - $45 77%
Three Rivers $41 - $45 77%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 995 9Th Avenue Southwest, Bessemer, AL 35022
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals