CMS Price Transparency Data

Blood antibody screen

Facility: Cass County Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $30
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Cass County Memorial Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.56x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $50 (94%)
Insurance Median: $30 (56%)
Cash: $50 (94% of Medicare)
Ins. Median: $30 (56% 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
UnitedHealthcare $10 - $30 19%
Midlands Choice Medica Mcr $14 26%
Triwest - All Plans $29 54%
Aetna $30 - $67 56%
Amerigroup Mcr Adv - All Other Plans $30 56%
Iowa Total Care Mcaid $30 56%
Iowa Total Care Mcr $30 56%
Medica Mcr Adv $30 56%
Molina Mcaid - All Plans $30 56%
Tricare $30 56%
Va Ccn - All Plans $30 56%
Wellmark Mcr Adv $30 56%
American Hlth Mcr Adv - All Plans $31 58%
Medicaid / KanCare $31 58%
Iowa Total Care Comm - All Other Plans $33 62%
Midlands Choice New Bus $46 86%
Wellmark Hmo $53 100%
Wellmark Ppo - All Other Plans $58 109%
Medica Comm - All Other Plans $62 116%
Midlands Choice Pho (Ppo) - All Other Plans $64 120%
Multiplan - All Plans $67 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals