CMS Price Transparency Data

Blood antibody screen

Facility: Wilcox Memorial Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 0.5× the $53 Medicare rate · typically $12–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $7 under the fair price · 0.4× Medicare
Medicare pays $53 Fair price $28 This hospital $21 Cash price $113 Hospital's list price $188

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $20 Priciest $23

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood antibody screen is about $28 (about 0.5× the $53 Medicare rate). Wilcox Memorial Hospital charges insurers about $21, or about $113 in cash — below the fair price — a good deal. Located in Lihue, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20 38%
Kaiser Permanentemajor $146 - $154 274%
Devoted Health $65 122%
+ 7 smaller / regional plans $10 - $76
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals