CMS Price Transparency Data

Blood antibody screen

Facility: Saint Joseph Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$44
about 0.8× the $53 Medicare rate · typically $9–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
Well above the fair price
about $36 over the fair price · 1.5× Medicare
Medicare pays $53 Fair price $44 This hospital $80 Cash price $97 Hospital's list price $198

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $7 Priciest $80

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $44 (about 0.8× the $53 Medicare rate). Saint Joseph Hospital charges insurers about $80, or about $97 in cash — well above the fair price. Located in Lexington, KY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $44. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10 - $145 19%
Blue Cross Blue Shieldmajor $7 - $52 13%
Aetnamajor $10 - $156 19%
Cignamajor $125 - $152 235%
Humanamajor $10 - $52 19%
CareSource $105 197%
Molina $10 - $55 19%
WellCare $10 - $52 19%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals