CMS Price Transparency Data

Blood antibody screen

Facility: Rockcastle County Hospital, Inc.

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $84
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Rockcastle County Hospital, Inc. is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.58x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $138 (259%)
Insurance Median: $84 (158%)
Cash: $138 (259% of Medicare)
Ins. Median: $84 (158% 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 $7 - $150 13%
Tricare $7 13%
Caresource Mcr Adv-All Other Plans $10 19%
Humana $10 19%
Molina Marketplace - All Other Plans $10 19%
Molina Mcr Adv $10 19%
Signature Mcr Adv-All Plans $10 19%
Wellcare Mcr Adv-All Other Plans $10 19%
Passport Hp Hmo - All Plans $23 - $59 43%
Caresource Mcaid $47 88%
Coventry Mcaid-All Plans $47 88%
Medicaid / KanCare $47 88%
Molina Mcaid $47 88%
UnitedHealthcare $47 88%
Multiplan-All Plans $74 - $185 139%
Prime Health Services-All Plans $74 - $185 139%
Integrated Hp-All Plans $77 - $194 145%
Corvel - All Plans $78 - $196 147%
Center Care-All Plans $83 - $207 156%
Cigna $84 - $211 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals