CMS Price Transparency Data

Blood antibody screen

Facility: Goshen Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $52
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Goshen Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.98x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $83 (156%)
Insurance Median: $52 (98%)
Cash: $83 (156% of Medicare)
Ins. Median: $52 (98% 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
All Savers $13 24%
Golden Rule Insurance 2Nd $13 24%
Oxford Health $13 24%
Uhclic $13 24%
Uhss $13 24%
UnitedHealthcare $13 - $52 24%
Advantage Health Solutions $52 98%
Aetna $52 98%
Atrio Health Plans $52 98%
Bc Federal Employee $52 98%
Bc Mcr Advantage Ppo $52 98%
Blue Cross Blue Shield $52 - $175 98%
Buckeye Health Plan $52 98%
Cigna $52 98%
Coventry Health And Life $52 98%
Emblem Health $52 98%
Freedom Healthcare $52 98%
Geisinger Health Plan $52 98%
Health First $52 98%
Healthspring $52 98%
Humana $52 98%
Iehp Empire Health Plan $52 98%
Independent Care Health Plan $52 98%
Kaiser Permanente $52 98%
Mcr Advantra Freedom $52 98%
Mcr Allwell Mhs $52 98%
Mcr Banner Health $52 98%
Mcr Complete $52 98%
Mcr Complete Ppo $52 98%
Mcr Complete Wellmed $52 98%
Mcr Health Alliance $52 98%
Mcr Health Partners Plans $52 98%
Mcr Medical Mutual Of Ohio $52 98%
Mcr Passport Advantage $52 98%
Mcr Secure Horizons Ppo $52 98%
Mcr Texan Plus $52 98%
Mcr Upmc For Life $52 98%
Medicare (plans) $52 - $55 98%
Meridian Complete $52 98%
Optimum Healthcare $52 98%
Paramount Elite $52 98%
Primetime Health Plan $52 98%
Simply Complete Hmo $52 98%
The Umwa H&R Funds $52 98%
Todays Options Pyramid Life $52 98%
Trillium Advantage $52 98%
Ucare For Seniors $52 98%
Ucare Minnesota $52 98%
Wellcare $52 98%
Champva $53 100%
Tricare $53 100%
Mcr Devoted Health Plan $55 103%
Mcr Provider Partners Hlth Pln $58 109%
Ambetter / Centene $74 139%
Mkt Caresource $74 139%
Bc Allied $175 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals