CMS Price Transparency Data

Blood antibody screen

Facility: Frankfort Regional Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $10
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Frankfort Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
$451

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $451 (847%)
Insurance Median: $10 (19%)
Cash: $451 (847% of Medicare)
Ins. Median: $10 (19% 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 - $10 13%
Aetna $10 19%
Coventry Cares $10 19%
Devoted Health $10 19%
Horizon Pace $10 19%
Humana $10 - $125 19%
Molina $10 19%
United $10 - $203 19%
United Behavioral Health $10 19%
United Va $10 19%
Wellcare $10 - $11 19%
Corvel $72 135%
Prime Health $72 135%
Signature Advantage $86 162%
Cigna $133 250%
Essence Healthcare $203 381%
Baptist Health Network $244 458%
Hospice Of Central Kentucky $284 533%
Occupational Mc Alliance $361 678%
Multiplan $429 806%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals