CMS Price Transparency Data

Blood antibody screen

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $106
Cash Discount Price: $80
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Cameron Memorial Community Hospital Inc is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.99x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $80 (150%)

Insurance Median: $106 (199%)

Cash: $80 (150% of Medicare)

Ins. Median: $106 (199% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$10 - $62	19%
Caresource Indiana Of In	$10 - $49	19%
Managed Health Services	$10	19%
Mdwise	$10	19%
Aetna	$43 - $116	81%
Humana	$43 - $116	81%
UnitedHealthcare	$43 - $106	81%
Plain Church Group Ministry	$52	98%
Centivo	$73	137%
Lucent	$73	137%
Phcs	$100	188%
Php	$102	192%
Sagamore Health Network	$103	193%
Signature Care	$111 - $118	208%
Three Rivers Preferred	$114	214%
Cigna	$116	218%
Coventry	$118	222%
Lutheran Preferred	$121	227%
Encore	$123	231%
Frontpath	$123	231%
Corvel	$125	235%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $80.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cameron Memorial Community Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.