CMS Price Transparency Data

Blood antibody screen

Facility: Middlesboro Arh Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$31
about 0.6× the $53 Medicare rate · typically $10–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Above the fair price
about $6 over the fair price · 0.7× Medicare
Medicare pays $53 Fair price $31 This hospital $37 Cash price $52 Hospital's list price $87

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 $37

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 $31 (about 0.6× the $53 Medicare rate). Middlesboro Arh Hospital charges insurers about $37, or about $52 in cash — above the fair price. Located in Middlesboro, 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 $31. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $37 - $65 69%
Blue Cross Blue Shieldmajor $7 - $76 13%
Aetnamajor $10 - $81 19%
Humanamajor $10 - $37 19%
Molina $10 19%
WellCare $22 - $37 41%
+ 1 smaller / regional plan $52

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3600 West Cumberland Avenue, Middlesboro, KY 40965
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals