CMS Price Transparency Data

Blood antibody screen

Facility: Northwest Specialty Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$26
about 0.5× the $53 Medicare rate · typically $10–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Well above the fair price
about $28 over the fair price · 1.0× Medicare
Medicare pays $53 Fair price $26 This hospital $54 Cash price $224 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $54

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood antibody screen is about $26 (about 0.5× the $53 Medicare rate). Northwest Specialty Hospital charges insurers about $54, or about $224 in cash — well above the fair price. Located in Post Falls, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $26. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $54 101%
Blue Cross Blue Shieldmajor $8 - $63 15%
Aetnamajor $54 101%
Kaiser Permanentemajor $54 - $80 101%
Molina $54 101%
+ 1 smaller / regional plan $75

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1593 East Polston Avenue, Post Falls, ID 83854
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals