CMS Price Transparency Data

Blood antibody screen

Facility: Lost Rivers Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $131
Cash Discount Price: $166
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Lost Rivers Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.46x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $166 (312%)

Insurance Median: $131 (246%)

Cash: $166 (312% of Medicare)

Ins. Median: $131 (246% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Provider Network Of America-All Plans	$18	34%
Humana	$20 - $131	38%
Regence Blue Shield-All Other Plans	$20	38%
Select Health Brightpath-All Other Plans	$118	222%
Tricare	$118	222%
Ihcn Brightpath-All Other Plans	$124	233%
Va Pccc-All Plans	$127	239%
Blue Cross Blue Shield	$131 - $208	246%
Ihcn Brightpath Mcr Adv	$131	246%
Molina Mcr Adv-All Plans	$131	246%
Pacificsource Mcr Adv	$131	246%
Regence/Brightpth Slhp Mcr	$131	246%
Select Health Mcr Adv	$131	246%
Prime Hlth Mcr Adv	$138	259%
Aetna	$141 - $196	265%
Cigna	$193	363%
First Choice-All Plans	$193	363%
Pacificsource Navigator-All Other Plans	$198	372%
UnitedHealthcare	$198	372%
Altius Health Plan-All Plans	$202	379%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $166.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lost Rivers Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.