CMS Price Transparency Data

Blood antibody screen

Facility: Doctors Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $10
  • Cash Discount Price: $502
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Doctors Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $502. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$502

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $502 (943%)
Insurance Median: $10 (19%)
Cash: $502 (943% of Medicare)
Ins. Median: $10 (19% 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
Aetna $9 - $277 17%
Blue Cross Blue Shield $9 - $11 17%
Health Net $9 17%
Absolute Total Care $10 - $90 19%
Caresource $10 19%
Clover $10 19%
Coventry $10 19%
Devoted Health $10 19%
Eon Health $10 19%
Friday Health $10 19%
Georgia Assurance $10 19%
Healthspring $10 19%
Humana $10 19%
Regency Hospice $10 19%
Shared Health $10 19%
St Joseph Hospice $10 19%
United $10 - $226 19%
Wellcare $10 - $100 19%
Health One Alliance $12 23%
Qtc Medical Group $12 23%
Ambetter / Centene $13 24%
Dept Of Community Health $15 28%
Blue Choice $35 66%
Amerigroup $71 133%
Nhc Advantage $95 178%
Pruitt Health $95 178%
Peach State $100 188%
Prime Health $134 252%
Rockport United Network $137 257%
Centurion $139 261%
Identity Mco $140 263%
Americas 1St Choice $141 265%
Medcost $252 - $321 473%
Kaiser Permanente $274 515%
Multiplan $301 - $452 565%
Performax $342 642%
First Health $377 708%
Employer'S Health Network $402 755%
Novanet $452 849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals