CMS Price Transparency Data

Blood antibody screen

Facility: Monroe County Medical Center

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$29
about 0.5× the $53 Medicare rate · typically $8–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$13
Below the fair price — a good deal
about $16 under the fair price · 0.2× Medicare
Medicare pays $53 Fair price $29 This hospital $13 Cash price $83 Hospital's list price $99

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 $13

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood antibody screen is about $29 (about 0.5× the $53 Medicare rate). Monroe County Medical Center charges insurers about $13, or about $83 in cash — below the fair price — a good deal. Located in Tompkinsville, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $60 113%
Blue Cross Blue Shieldmajor $7 - $20 13%
Humanamajor $74 139%
+ 1 smaller / regional plan $85
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

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Facility Profile & Credentials

  • Address: 529 Capp Harlan Road, Tompkinsville, KY 42167
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals