CMS Price Transparency Data

Blood antibody screen

Facility: Saint Joseph East

Billing Code: 86850 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$41
about 0.8× the $53 Medicare rate · typically $9–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Above the fair price
about $11 over the fair price · 1.0× Medicare
Medicare pays $53 Fair price $41 This hospital $52 Cash price $80 Hospital's list price $198

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 $52

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 $41 (about 0.8× the $53 Medicare rate). Saint Joseph East charges insurers about $52, or about $80 in cash — above the fair price. Located in Lexington, 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 $41. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 - $150 19%
Blue Cross Blue Shieldmajor $7 - $52 13%
Aetnamajor $10 - $125 19%
Cignamajor $127 239%
Humanamajor $10 - $52 19%
CareSource $105 197%
Molina $10 - $55 19%
WellCare $10 - $52 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: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals