CMS Price Transparency Data

Blood antibody screen

Facility: Deaconess Illinois Crossroads

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $56
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Deaconess Illinois Crossroads is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.05x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $60 (113%)
Insurance Median: $56 (105%)
Cash: $60 (113% of Medicare)
Ins. Median: $56 (105% 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
Blue Cross Blue Shield $4 - $130 8%
UnitedHealthcare $6 - $159 11%
Aetna $7 - $216 13%
Meridian Health Plan $7 - $56 13%
Molina Healthcare Of Illinois $7 - $56 13%
Wellcare $7 - $56 13%
Alliance Coal $10 - $56 19%
Humana $10 - $213 19%
Mytru Advantage $10 - $56 19%
Umwa $10 - $56 19%
Deaconess Onecare $13 - $145 24%
Alter-Net Medical Services, Inc. $16 - $159 30%
Noncontracted $16 - $89 30%
Self-Pay $18 - $60 34%
Cigna $19 - $106 36%
Prime Health Services $38 - $205 71%
Guardian Resources, Inc. $42 - $230 79%
Healthcare'S Finest Network (Hfn) $42 - $233 79%
Medicalcontrol Network Solutions $42 - $233 79%
National Provider Network $42 - $233 79%
Beech Street $44 - $241 83%
Three Rivers Provider Network $44 - $238 83%
Care Improvement Plus $56 105%
Encore Combined $56 - $167 105%
Encore Prime/Elite/Elite + $56 - $150 105%
Hope Trust $96 - $159 180%
Wexford Health Sources $123 - $192 231%
Great West Healthcare Of Illinois $205 385%
Multiplan - Primary Network - Phcs $215 404%
Healthlink $219 - $233 411%
Coventry Healthcare $230 432%
First Health $230 432%
Multiplan - Complementary Network $234 440%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals