CMS Price Transparency Data

Blood antibody screen

Facility: Jeff Davis Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $128
Cash Discount Price: $59
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Jeff Davis Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.40x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $59 (111%)

Insurance Median: $128 (240%)

Cash: $59 (111% of Medicare)

Ins. Median: $128 (240% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 240% of the Medicare baseline (a markup of 140%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$10 - $84	19%
Care_Improvement_Plus	$10	19%
Humana	$10 - $143	19%
Medicare (plans)	$10	19%
Medicaid / KanCare	$16 - $34	30%
Peach_State	$34	64%
Wellcare	$34	64%
Coventry_Hmo	$118	222%
Coventry_Pos	$118	222%
Uhc_Hmo	$126	237%
Uhc_Indemnity	$126	237%
Uhc_Ppo	$126	237%
Coventry_Ppo	$130	244%
Beech_Street	$135	254%
Care_Source	$135	254%
Cigna	$135	254%
One_Health_Ppo	$135	254%
Choicecare	$143	269%
Community_Care_Network	$143	269%
Georgia_Hospital_Network	$143	269%
Industry_Buying_Group	$143	269%
Novanet	$143	269%
Principal_Health_Care_Of_Georgia	$143	269%
Three_Rivers_Provider_Network	$143	269%
Usa_Managed_Care	$143	269%
Memorial_Health_Partners	$152	285%
Tricare	$157	295%
Multiplan	$160	301%

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 $59.
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 Jeff Davis 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.