CMS Price Transparency Data

Blood antibody screen

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $46
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Thomas H Boyd Memorial Hospital is $46. 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 0.86x the Medicare baseline. Located in 800 School St, Carrollton, IL.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $46 (86%)
Cash: $66 (124% of Medicare)
Ins. Median: $46 (86% 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
Aetna $8 - $42 15%
Blue Cross Blue Shield $19 - $62 36%
Meridian Hp Mcaid-All Plans $19 36%
Molina Mcaid-All Plans $19 36%
Health Alliance Mcr Adv $42 79%
Humana $42 79%
UnitedHealthcare $42 - $88 79%
Wellcare Mcr Adv-All Plans $42 79%
Health Alliance-All Other Plans $50 94%
Ambetter / Centene $54 101%
Cigna $58 109%
Healthlink Hmo $62 116%
Healthlink Il Only $62 116%
Multiplan-All Plans $62 116%
Healthlink Ppo-All Other Plans $71 133%
Hfn Zelis-All Plans $75 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 School St, Carrollton, IL 62016
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals