CMS Price Transparency Data

Blood antibody screen

Facility: St Elizabeth Edgewood

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$37
about 0.7× the $53 Medicare rate · typically $11–$62
modeled estimate · not a bill or quote
Medicare pays $53 Fair price $37 Cash price $29 Hospital's list price $29

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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 $12 - $53 23%
Blue Cross Blue Shieldmajor $7 - $52 13%
Aetnamajor $23 43%
Cignamajor $7 - $13 13%
Ambetter (Centene) $103 193%
Devoted Health $54 101%
Medical Mutual $4 8%
WellCare $56 105%
+ 1 smaller / regional plan $115 - $128

Self-Pay How to get the cash price

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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: 1 Medical Village Drive, Edgewood, KY 41017
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals