CMS Price Transparency Data

Blood antibody screen

Facility: Saint Joseph Mount Sterling

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$34
about 0.6× the $53 Medicare rate · typically $11–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Above the fair price
about $16 over the fair price · 0.9× Medicare
Medicare pays $53 Fair price $34 This hospital $50 Cash price $34 Hospital's list price $92

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 $50

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 $34 (about 0.6× the $53 Medicare rate). Saint Joseph Mount Sterling charges insurers about $50, or about $34 in cash — above the fair price. Located in Mount Sterling, 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 $34. 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 $10 - $51 19%
Blue Cross Blue Shieldmajor $7 - $50 13%
Aetnamajor $10 - $62 19%
Humanamajor $10 - $50 19%
CareSource $100 188%
Molina $10 - $53 19%
WellCare $10 - $50 19%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals