CMS Price Transparency Data

Blood antibody screen

Facility: Banner Fort Collins Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $87
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Banner Fort Collins Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.63x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $43 (81%)
Insurance Median: $87 (163%)
Cash: $43 (81% of Medicare)
Ins. Median: $87 (163% 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
UnitedHealthcare $9 - $97 17%
Blue Cross Blue Shield $10 - $20 19%
Cigna $10 19%
Clear Spring Health $10 19%
Devoted Health Services $10 19%
Healthspring Life & Health Insurance Company, Inc. $10 19%
Humana $10 19%
Longevity $10 19%
Medica $10 - $97 19%
Medicare (plans) $10 19%
Assist Health Group $12 23%
Pinnacol Assurance Workers Comp $15 28%
Denver Health Medical Plan $17 32%
Centivo $23 43%
Hue Health, Inc $25 - $82 47%
Banner Health $44 - $48 83%
Rocky Mountain Health Plans $91 - $99 171%
Apostrophe, Inc. $92 - $99 173%
Decent Health $92 - $99 173%
Aetna $95 - $103 178%
First Choice Health Network $97 - $105 182%
Multiplan $102 - $110 192%
First Choice Of The Midwest $103 - $111 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals