CMS Price Transparency Data

Blood antibody screen

Facility: Bingham Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $69
Cash Discount Price: $66
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Bingham Memorial Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.30x the Medicare baseline. Located in 98 Poplar Street, Blackfoot, ID.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $66 (124%)

Insurance Median: $69 (130%)

Cash: $66 (124% of Medicare)

Ins. Median: $69 (130% 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.

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
Regence Blue Shield-All Plans	$9	17%
Blue Cross Blue Shield	$13 - $17	24%
Ebms-All Plans	$27	51%
Partners Direct-All Plans	$43	81%
Altius Hosp Empl	$47	88%
Pacificsource-All Plans	$57	107%
Altius Nonpar Empl	$66	124%
Selecthealth-All Plans	$71	133%
UnitedHealthcare	$71	133%
Aetna	$85	160%
Three Rivers-All Plans	$85	160%
Altius Coventry-All Other Plans	$88	165%
Bright Path-All Plans	$90	169%
Deseret Mutual-All Plans	$90	169%
First Choice Health-All Plans	$90	169%

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 $66.
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 Bingham Memorial Hospital 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.