CMS Price Transparency Data

Blood antibody screen

Facility: Putnam County Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $43
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Putnam County Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.81x the Medicare baseline. Located in 1542 S Bloomington St, Greencastle, IN.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $44 (83%)
Insurance Median: $43 (81%)
Cash: $44 (83% of Medicare)
Ins. Median: $43 (81% 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
Indiana Univeristy Qhp $5 9%
Indiana University Plan $5 9%
Caresource Hip Mcaid $10 19%
Caresource Hoosier Healthwise $10 19%
Blue Cross Blue Shield $17 - $46 32%
Caresource Just4Me - All Other Plans $18 34%
Caresource Mcr Advantage $18 34%
Humana $18 - $43 34%
Sagamore Health Ip-All Plans $45 85%
Cigna $48 90%
Aetna $49 92%
Encore-All Plans $49 92%
UnitedHealthcare $49 92%
Indiana Health Network Ip-All Other Plans $50 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1542 S Bloomington St, Greencastle, IN 46135
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals