CMS Price Transparency Data

Blood antibody screen

Facility: Sky Ridge Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $27
  • Cash Discount Price: $690
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Sky Ridge Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.51x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$690

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $690 (1296%)
Insurance Median: $27 (51%)
Cash: $690 (1296% of Medicare)
Ins. Median: $27 (51% 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
Cigna $6 - $442 11%
Aetna $10 - $364 19%
Blue Cross Blue Shield $10 - $511 19%
Bright Health $10 - $207 19%
Delaware Life Insurance $10 19%
Devoted Health $10 19%
Humana $10 19%
Innovage Pace $10 19%
Kaiser $10 - $245 19%
Mutual Of Omaha $10 19%
Rocky Mountain Health $10 19%
Rocky Mountain Health Plan $10 19%
Total Longterm Care $10 19%
Triwest Health Alliance $10 19%
United $10 - $311 19%
Wellcare $10 19%
Pinnacol Workers Comp $83 156%
Multiplan $87 - $621 163%
Vail Health $105 197%
Western Plains Community Health $449 843%
Northcare $483 907%
Physician Health Partners $483 907%
Medical Development International $552 1037%
Prime Health $621 1166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals