CMS Price Transparency Data

Blood antibody screen

Facility: Boone County Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $32
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Boone County Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.60x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $39 (73%)
Insurance Median: $32 (60%)
Cash: $39 (73% of Medicare)
Ins. Median: $32 (60% 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
Va Ccn-All Plans $2 - $8 4%
Aetna $8 - $61 15%
Amerigroup Mcr Adv - All Other Plans $8 - $32 15%
Choice Care Mcr Adv - All Plans $8 - $32 15%
Humana $8 - $70 15%
Iowa Hlth Adv - All Plans $8 - $32 15%
Mt Carmel Hp - All Plans $8 - $32 15%
UnitedHealthcare $8 - $46 15%
Iowa Total Care Mcaid - All Plans $9 - $36 17%
Medicaid / KanCare $9 - $36 17%
Meridian Mcaid - All Plans $9 - $35 17%
Healthsmart Accell Network $14 - $55 26%
Medical Associates Hp-All Plans $15 - $59 28%
Healthsmart Ppo - All Other Plans $16 - $63 30%
Health Alliance-All Plans $18 - $70 34%
Midlands Choice-All Plans $18 - $72 34%
Mutually Preferred-All Plans $19 - $74 36%
Wellmark Hmo $40 75%
Wellmark Ppo - All Other Plans $44 83%
Tricare $53 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals