Blood antibody screen
Facility: Saint Joseph Hospital
Billing Code: 86850 (CPT)
This hospital's typical commercial price is $80 compared to the $44 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.82× fair market pricing.
Highest price of the 9 KY hospitals we have prices for — worth calling around.
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
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% |
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.
Other Procedures at Saint Joseph Hospital
Compare: Blood antibody screen at other KY hospitals
- Spring View Hospital · Lebanon $7
- Bourbon Community Hospital · Paris $7
- Ephraim McDowell Regional Medical Center · Danville $7
- Clark Regional Medical Center · Winchester $7
- Georgetown Community Hospital · Georgetown $7
- Jackson Purchase Medical Center · Mayfield $7
- Fleming County Hospital · Flemingsburg $7
- Bluegrass Community Hospital · Versailles $7
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Joseph Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $72
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $72).
Self-Pay Cash Rate ($97) Beats Your Bill
Saint Joseph Hospital's published 45 CFR § 180 self-pay cash rate is $97 (vs. $80 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $44 Fair BaseRate ($53 Medicare)
Your bill ($198) is $154 above the denoised Fair BaseRate ($44) and 3.7× the $53 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.