CMS Price Transparency Data

Blood antibody screen

Facility: Norton-King's Daughters' Health

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $77
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Norton-King's Daughters' Health is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.45x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $20 (38%)
Insurance Median: $77 (145%)
Cash: $20 (38% of Medicare)
Ins. Median: $77 (145% 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 $10 - $80 19%
Blue Cross Blue Shield $10 - $56 19%
Humana $10 - $56 19%
Managed Health Services Of Indiana $10 19%
Managed Health Services Of Kentucky $10 19%
Passport By Molina $10 19%
UnitedHealthcare $10 - $71 19%
Custom Design Benefits $46 - $112 86%
Managed Health Services $58 - $87 109%
Cigna $77 145%
Encore $77 145%
Caresource Of Kentucky $78 147%
Quality Care Partners $81 152%
Bluegrass $82 154%
First Health $82 154%
Healthlink $82 154%
Vha/Tristate $82 154%
Caresource Of Indiana $84 158%
Multiplan/Phcs $84 158%
Indiana Health Network $86 162%
Siho $86 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1373 East Sr 62, Madison, IN 47250
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals