CMS Price Transparency Data

Blood antibody screen

Facility: Memorial Health Meadows Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $39
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Memorial Health Meadows Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.73x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $185 (347%)
Insurance Median: $39 (73%)
Cash: $185 (347% of Medicare)
Ins. Median: $39 (73% 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
Ambetter / Centene $6 - $12 11%
Aetna $10 - $147 19%
Blue Cross Blue Shield $10 - $106 19%
Caresource $10 19%
Clover $10 19%
Devoted Health $10 19%
Eon Health $10 19%
Eon Health Dme $10 19%
Friday Health $10 19%
Georgia Assurance $10 19%
Healthspring $10 19%
Humana $10 19%
Shared Health $10 19%
United $10 - $92 19%
Vidalia Health $10 19%
Wellcare $10 19%
Health One Alliance $12 23%
Amerigroup $13 - $25 24%
Pruitt Health $20 - $39 38%
Peach State $21 - $41 39%
Memorial Health Plan $23 - $92 43%
Centurion $29 - $57 54%
Multiplan $96 - $184 180%
Prime Health $134 252%
Employer'S Health Network $137 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Meadows Parkway, Vidalia, GA 30474
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals