CMS Price Transparency Data

Blood antibody screen

Facility: Crestwood Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $50
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Crestwood Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.94x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $54 (101%)
Insurance Median: $50 (94%)
Cash: $54 (101% of Medicare)
Ins. Median: $50 (94% 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
Blue Cross Blue Shield $6 - $46 11%
Cigna $6 - $47 11%
Medicaid / KanCare $7 13%
UnitedHealthcare $9 - $47 17%
Veterans Eval Services $10 19%
Aetna $11 - $48 21%
Tricare $45 85%
Humana $46 86%
Medicare (plans) $46 86%
Node Windsor Mcr Adv $46 86%
Viva Health $46 86%
Alacare Hospice $47 88%
Hospice $47 88%
Node Champva $47 88%
Node Devoted Health Mcr Adv $47 88%
Node Select Health Mcr Adv $47 88%
Node Va $47 88%
Node Clover Health Mcr Adv $48 90%
Node Wellcare Mcr Adv $48 90%
Node Prime Health Mcr Adv $50 94%
Self Pay $50 - $59 94%
Node Us Dept Of Labor $58 109%
Occunet $59 111%
Ambetter / Centene $71 133%
American Employee Alliance $112 210%
Wc Hart & Cooley $112 210%
Alamed $140 263%
Wc Acs Compiq Xerox $172 323%
Fortified $194 - $223 364%
Core Choice $196 - $204 368%
Prime Health $196 - $215 368%
Coventry $198 372%
Rockport $200 376%
America'S Choice $204 - $223 383%
Novanet $204 - $209 383%
Wc Al $215 404%
Multiplan $237 445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals