CMS Price Transparency Data

Blood antibody screen

Facility: Heywood Hospital -

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 1.2× the $53 Medicare rate · typically $11–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $8 over the fair price · 1.4× Medicare
Medicare pays $53 Fair price $65 This hospital $73 Cash price $248 Hospital's list price $248

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 $73

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood antibody screen is about $65 (about 1.2× the $53 Medicare rate). Heywood Hospital - charges insurers about $73, or about $248 in cash — about the fair price. Located in Gardner, MA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $73 137%
Aetnamajor $42 - $59 79%
Harvard Pilgrim $124 233%
Tufts Health Plan $115 - $117 216%
+ 2 smaller / regional plans $59 - $89

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 242 Green Street, Gardner, MA 01440
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals