CMS Price Transparency Data

Blood antibody screen

Facility: Perry County Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $32
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Perry County Memorial Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.60x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $63 (118%)
Insurance Median: $32 (60%)
Cash: $63 (118% of Medicare)
Ins. Median: $32 (60% 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
Bc 130 $4 - $93 8%
Group Insurance $4 - $116 8%
Nsa $4 - $72 8%
Medicaid / KanCare $10 - $116 19%
Medicare (plans) $10 - $30 19%
Veterans Administration $10 - $116 19%
Workers Compensation $32 - $58 60%
Guarantor Liable $45 - $116 85%
Pcmh Insurnace $50 - $116 94%
Secondary Insurance $51 - $93 96%
UnitedHealthcare $51 - $93 96%
Operating Engineers $54 - $99 101%
Boilermakers Healthcare $56 - $101 105%
Cigna $56 - $101 105%
Great West $56 - $116 105%
Sagxxxx $56 - $101 105%
Champus $64 - $116 120%
Ngs American, Inc $64 - $116 120%
Patoka Valley $64 - $116 120%
Southwire $64 - $116 120%
Tricare $64 - $116 120%
Wausau Benefits $64 - $116 120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals