CMS Price Transparency Data

Blood antibody screen

Facility: Murray-Calloway County Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $114
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 2.14x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Murray-Calloway County Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.14x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $146 (274%)
Insurance Median: $114 (214%)
Cash: $146 (274% of Medicare)
Ins. Median: $114 (214% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 214% of the Medicare baseline (a markup of 114%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $10 19%
Blue Cross Blue Shield $10 - $180 19%
Bluegrass - All Plans $10 19%
Humana $10 - $176 19%
Medicaid / KanCare $10 19%
Passport Health - All Plans $10 19%
Tricare $10 19%
Triwest - All Plans $10 19%
Wellcare Mcr Adv $10 19%
Wellcare Health Plan Inc $11 21%
Medben Mcch Employees $17 32%
Ambetter / Centene $19 36%
Coventry Cares Of Ky - All Plans $19 - $25 36%
Occunet - All Plans $19 - $25 36%
Health Cost Solutions - All Plans $24 45%
UnitedHealthcare $97 - $133 182%
Medben City Of Murray - All Other Plans $114 - $156 214%
Center Care - All Plans $137 - $187 257%
Three Rivers - All Plans $152 - $208 285%
First Health - All Plans $171 - $234 321%
Healthsmart - All Plans $171 - $234 321%
Multiplan - All Plans $171 - $234 321%
Corvel Corporation - All Plans $190 - $260 357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 803 Poplar Street, Murray, KY 42071
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals