CMS Price Transparency Data

Blood antibody screen

Facility: Cherokee Regional Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $75
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Cherokee Regional Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.41x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $68 (128%)
Insurance Median: $75 (141%)
Cash: $68 (128% of Medicare)
Ins. Median: $75 (141% 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
Health Partners $40 - $75 75%
Wellpoint $40 - $75 75%
Molina $41 - $75 77%
Admin Concepts $75 141%
Aetna $75 141%
American Republic $75 141%
Apw $75 141%
Auxiant $75 141%
Avera $75 141%
Bankers Life $75 141%
Blue Cross Blue Shield $75 141%
Champus $75 141%
Cigna $75 141%
Humana $75 141%
Iowa Total Care $75 141%
Liability $75 141%
Meridian $75 141%
Meritain $75 141%
Midlands $75 141%
Mutual Of Omaha $75 141%
Occunet $75 141%
Physicians Mutual $75 141%
Private Healthcare $75 141%
Sanford $75 141%
United American $75 141%
UnitedHealthcare $75 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Sioux Valley Drive, Cherokee, IA 51012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals