CMS Price Transparency Data

Blood antibody screen

Facility: Tristar Greenview Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $13
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Tristar Greenview Regional Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.24x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $295 (554%)
Insurance Median: $13 (24%)
Cash: $295 (554% of Medicare)
Ins. Median: $13 (24% 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
Aetna $10 19%
Blue Cross Blue Shield $10 - $92 19%
Coventry Cares $10 19%
Devoted Health $10 19%
Horizon Pace $10 19%
Humana $10 - $221 19%
Molina $10 19%
Sarah Cannon Research $10 19%
United $10 - $133 19%
Va Ccn $10 19%
Wellcare $10 - $13 19%
Prime Health $47 88%
Signature Advantage $56 105%
Cigna $88 165%
Cdm Health $145 272%
Southern Kentucky Rehab $221 415%
Occupational Mc Alliance $236 443%
Tim Davis And Associates $236 443%
Up And Up $236 443%
Fortified Provider Network $266 500%
Multiplan $266 500%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals