CMS Price Transparency Data

Blood antibody screen

Facility: Emerson Hospital -

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 1.1× the $53 Medicare rate · typically $11–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$61
About the fair price
about $2 over the fair price · 1.2× Medicare
Medicare pays $53 Fair price $59 This hospital $61 Cash price $180 Hospital's list price $240

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $10 Priciest $61

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

A fair price for a Blood antibody screen is about $59 (about 1.1× the $53 Medicare rate). Emerson Hospital - charges insurers about $61, or about $180 in cash — about the fair price. Located in W Concord, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $61 - $240 115%
Blue Cross Blue Shieldmajor $61 - $180 115%
Aetnamajor $64 120%
Cignamajor $10 - $220 19%
Tufts Health Plan $61 115%
+ 1 smaller / regional plan $9
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 133 Old Road To 9 Acre Corner, W Concord, MA 01742
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals