CMS Price Transparency Data

Blood antibody screen

Facility: Davis County Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $72
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Davis County Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.35x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $130 (244%)
Insurance Median: $72 (135%)
Cash: $130 (244% of Medicare)
Ins. Median: $72 (135% 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
Blue Cross Blue Shield $5 9%
Aetna $65 122%
Choicecare Mcr Adv $70 131%
Home State Hlth Exch - All Other Plans $70 131%
Home State Hlth Mcr $70 131%
Mt Carmel Hp-All Plans $70 131%
Tricare $70 131%
Amerigroup Mcr Adv-All Other Plans $72 135%
American Hp Mcr Adv-All Plans $74 139%
Home State Hlth Mcaid $78 147%
Iowa Total Care Mcaid-All Plans $80 150%
Amerigroup Mcaid $81 152%
Molina Mcaid-All Plans $81 152%
Midlands Choice - All Plans $91 171%
Preferred Hlth Choices - All Plans $98 184%
Choicecare Comm - All Other Plans $124 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals