CMS Price Transparency Data

Blood antibody screen

Facility: Tift Regional Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $30
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Tift Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.56x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $20 (38%)
Insurance Median: $30 (56%)
Cash: $20 (38% of Medicare)
Ins. Median: $30 (56% 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 $1 - $205 2%
Humana $1 - $102 2%
Self Pay 50 $1 - $102 2%
Aetna $2 - $177 4%
Caresource Marketplace Exchange $2 - $74 4%
Cigna $2 - $187 4%
Health One Alliance $2 - $72 4%
Misc Commercial Insurance Plans $2 - $184 4%
Misc Non Contracted Commercial Plans $2 - $205 4%
Self Pay $2 - $184 4%
Tricare $2 - $49 4%
UnitedHealthcare $2 - $173 4%
Zelis Network Solutions $2 - $99 4%
Peach State Health Plan $7 13%
Amerigroup $17 32%
Ga Workers Comp $17 32%
Medicaid / KanCare $17 32%
Peachstate $18 34%
Wellcare $18 - $50 34%
Caresource $19 36%
Va Contract $37 69%
Hospice $49 92%
Medicare (plans) $49 92%
Clover Health $50 94%
Pruitt Health Premier $54 101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals