CMS Price Transparency Data

Blood antibody screen

Facility: Deaconess Henderson Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $12
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Deaconess Henderson Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.23x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $18 (34%)
Insurance Median: $12 (23%)
Cash: $18 (34% of Medicare)
Ins. Median: $12 (23% 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
Blue Cross Blue Shield $4 - $48 8%
UnitedHealthcare $6 - $48 11%
Wellcare Il $7 - $48 13%
Aetna $10 - $47 19%
Alliance Coal $10 19%
Caresource In $10 19%
Center Care Narrow $10 19%
Center Care Open Access $10 19%
Encircle/Encore Combined $10 - $15 19%
Encircle/Encore Prime $10 - $15 19%
Humana $10 - $48 19%
Iu Health Plans $10 - $17 19%
Medicaid / KanCare $10 - $47 19%
Medicare (plans) $10 - $48 19%
Mhs Mco $10 - $48 19%
Molina Healthcare Of Ky $10 - $48 19%
Molina Healthcare Of Ky - Exchange $10 - $48 19%
Mytru Advantage $10 - $48 19%
One Care $10 19%
Umwa $10 - $48 19%
Wellcare Ky $10 - $57 19%
Caresource In Marketplace $13 - $71 24%
Wellcare Ky Commercial Exchange $13 - $98 24%
Amish And Mennonite Of Western Ky $15 - $32 28%
Noncontracted $16 - $76 30%
First Health Network (Coventry) $17 32%
Healthlink $17 32%
Phcs/Multiplan $17 32%
Sagamore $17 32%
Ky Racing Health & Welfare Fund $18 34%
Self-Pay $18 34%
Cigna $30 56%
Claimdoc $30 - $114 56%
Hopetrust $30 - $114 56%
Hstechnology $30 - $114 56%
Coventry National Network $40 75%
Webster County Detention Center $40 75%
Henderson County Detention Center $45 85%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals