CMS Price Transparency Data

Blood antibody screen

Facility: Uchealth Grandview Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $91
Cash Discount Price: $90
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Uchealth Grandview Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.71x the Medicare baseline. Located in 5623 Pulpit Peak Vw, Colorado Springs, CO.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $90 (169%)

Insurance Median: $91 (171%)

Cash: $90 (169% of Medicare)

Ins. Median: $91 (171% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$9 - $54	17%
Cigna	$21 - $157	39%
Select Health	$21 - $99	39%
Blue Cross Blue Shield	$26 - $100	49%
Kaiser	$29 - $91	54%
Simplified Benefits Administration	$37 - $102	69%
UnitedHealthcare	$49 - $145	92%
Cms	$54	101%
Devoted Health	$54	101%
Humana	$54	101%
Denver Health Medical Plan	$57 - $134	107%
Rocky Mountain Health Plan	$62 - $145	116%
First Health	$68 - $158	128%
Multiplan/Phcs	$79 - $185	148%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $90.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uchealth Grandview Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.