CMS Price Transparency Data

Blood antibody screen

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $100
Cash Discount Price: $158
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Uchealth Pikes Peak Regional Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.88x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $158 (297%)

Insurance Median: $100 (188%)

Cash: $158 (297% of Medicare)

Ins. Median: $100 (188% 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
UnitedHealthcare	$4 - $50	8%
Blue Cross Blue Shield	$38 - $90	71%
Select Health	$47 - $171	88%
Aetna	$50 - $162	94%
Cigna	$50 - $158	94%
Cms	$50	94%
Devoted Health	$50	94%
Humana	$50	94%
Kaiser	$50 - $168	94%
Simplified Benefits Administration	$91 - $100	171%
Kaiser Public Option	$119	224%
Kaiser Kp Select	$143	269%
Multiplan/Phcs	$156	293%
First Health	$168	316%
Rocky Mountain Health Plan	$168	316%

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 $158.
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 Pikes Peak Regional 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.