CMS Price Transparency Data

Blood antibody screen

Facility: Wabash General Hospital 1

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $87
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Wabash General Hospital 1 is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.63x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $117 (220%)
Insurance Median: $87 (163%)
Cash: $117 (220% of Medicare)
Ins. Median: $87 (163% 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 $9 - $99 17%
Blue Cross Blue Shield $9 - $101 17%
Meridian Mcaid - All Plans $9 17%
Molina Mcaid - All Plans $9 17%
UnitedHealthcare $36 - $47 68%
Health Alliance Mcr Adv - All Plans $37 69%
Healthlink Hmo $82 154%
Cigna $87 163%
Encore Combined Ip/Op Only $87 163%
Hope Trust - All Plans $87 163%
Healthlink Ppo - All Other Plans $93 175%
Phcs - All Plans $93 175%
Health Smart - All Plans $99 186%
Hfn - All Plans $99 186%
Multiplan - All Plans $99 186%
Siho Network - All Plans $99 186%
Encore Health Network Ip/Op Only - All Other Plans $105 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1418 College Drive, Mount Carmel, IL 62863
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals