CMS Price Transparency Data

Blood antibody screen

Facility: Deaconess Hospital Inc

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $14
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Deaconess Hospital Inc is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.26x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $18 (34%)
Insurance Median: $14 (26%)
Cash: $18 (34% of Medicare)
Ins. Median: $14 (26% 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 - $53 8%
Humana $5 - $53 9%
United Behavioral Health $6 11%
UnitedHealthcare $6 - $53 11%
Aetna $7 - $47 13%
Medicaid / KanCare $7 - $47 13%
Meridiancomplete (Il) $7 - $53 13%
Meridianhealth (Il) $7 13%
Youthcare (Meridian Il) $7 13%
Youthcare (Wellcare Il) $7 13%
Mhnet $8 15%
Alliance Coal $10 19%
Ambetter / Centene $10 - $80 19%
Caresource In $10 19%
Center Care Narrow Select $10 19%
Center Care Open Access $10 19%
Deaconess Onecare $10 - $13 19%
Encircle/Encore Combined $10 - $15 19%
Encircle/Encore Elite+ $10 - $15 19%
Encircle/Encore Prime $10 - $15 19%
Iu Health Network $10 - $13 19%
Medicare (plans) $10 - $53 19%
Meridiancare (Il) $10 - $53 19%
Molina (Il) Mmai $10 - $53 19%
Molina Il $10 - $53 19%
Mytru Advantage $10 - $53 19%
Patoka Valley Health Care (80/20 Plan) $10 - $53 19%
Patoka Valley Health Care (90/10 Plan) $10 - $53 19%
Triwest Vapc3 $10 - $51 19%
Wellcare (Il) Mmai $10 - $53 19%
Caresource In Marketplace $13 - $80 24%
Allied National $14 - $128 26%
Claimdoc $14 - $128 26%
Healthscope $14 - $128 26%
Hopetrust $15 - $128 28%
Hstechnology $15 - $128 28%
Naphcare $16 - $88 30%
Noncontracted $16 - $85 30%
Cigna $17 - $53 32%
Claritev (Formerly Phcs Multiplan) $17 32%
First Health $17 32%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $17 - $53 32%
Ky Racing Health & Welfare Fund $18 34%
Self-Pay $18 34%
Chamber Care $30 - $53 56%
Parkview Signature Care $34 64%
Healthlink $38 - $42 71%
National Rural Electric $44 83%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals