CMS Price Transparency Data

Blood antibody screen

Facility: Finley Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $38
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Finley Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.71x the Medicare baseline. Located in 350 North Grandview Avenue, Dubuque, IA.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $57 (107%)
Insurance Median: $38 (71%)
Cash: $57 (107% of Medicare)
Ins. Median: $38 (71% 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
Bc Illinois Community $4 - $22 8%
UnitedHealthcare $6 - $113 11%
Blue Cross Blue Shield $10 - $52 19%
Wellmark Uph Self-Funded $10 19%
Cigna $13 - $38 24%
Medical Associates Health Plan $13 24%
Health Partners Open Network $14 - $98 26%
Aetna $25 - $123 47%
Medica Exchange Inspire $26 49%
Dean Health Plan $29 - $57 54%
Medica Exchange Insure $29 54%
Amerigroup $47 88%
Iowa Total Care $47 88%
Molina $52 98%
Amerivantage $54 101%
Humana $54 101%
Quartz Health $57 107%
Meridian $59 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 North Grandview Avenue, Dubuque, IA 52001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals