CMS Price Transparency Data

Blood antibody screen

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $59
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Uofl Health - Shelbyville Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.11x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$59

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: $48 (90%)
Insurance Median: $59 (111%)
Cash: $48 (90% of Medicare)
Ins. Median: $59 (111% 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
Aetna $9 - $21 17%
Humana $9 - $50 17%
Blue Cross Blue Shield $10 - $82 19%
Passport $10 - $65 19%
UnitedHealthcare $10 - $60 19%
Wellcare $10 - $66 19%
Prime Group Health $44 - $106 83%
Senior Care Communty Of Ky $47 88%
Cigna $50 94%
Devoted $50 94%
Essence Health $50 94%
Va Ccn $50 94%
Signature $52 - $62 98%
Communicare $53 100%
Velocity $59 - $122 111%
Key Benefit Administrators $65 122%
Encore $75 141%
Multiplan $82 - $112 154%
Omca $119 224%
Corvel $125 235%
Cshn $125 235%
Health Smart $125 235%
National Comp Care $125 235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 Hospital Drive, Shelbyville, KY 40065
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals