CMS Price Transparency Data

Blood antibody screen

Facility: Advocate Condell Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $84
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Advocate Condell Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.58x the Medicare baseline. Located in 801 S Milwaukee Ave, Libertyville, IL.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $135 (254%)
Insurance Median: $84 (158%)
Cash: $135 (254% of Medicare)
Ins. Median: $84 (158% 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 19%
Cigna $45 85%
Blue Cross Blue Shield $51 - $200 96%
Aetna $75 141%
Ambetter / Centene $81 152%
Molina $81 152%
Oscar Health Hmo $84 158%
Advocate Employee $106 - $118 199%
Hstechnology $107 201%
Private Healthcare Systems $140 - $146 263%
Multiplan $216 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 S Milwaukee Ave, Libertyville, IL 60048
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals