CMS Price Transparency Data
Blood antibody screen
Facility: Trinity Health Oakland Hospital
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $34
- Cash Discount Price: $62
- vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Trinity Health Oakland Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.64x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$62
Average discount available for prompt cash payment at this facility.
Insurance Median
$34
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: $62 (116%)
Insurance Median: $34 (64%)
Cash: $62 (116% of Medicare)
Ins. Median: $34 (64% 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
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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 | $6 - $130 | 11% |
| Bcn Domestic | $10 | 19% |
| Blue Benefit Administrators Of Massachusetts | $10 | 19% |
| Blue Care Network | $10 | 19% |
| Blue Distinction Transplant | $10 | 19% |
| Blue Shield - Ca | $10 | 19% |
| Blue Shield - Id (Regence) | $10 | 19% |
| Blue Shield - Ny Highmark Northeastern | $10 | 19% |
| Blue Shield - Ny Highmark Western | $10 | 19% |
| Blue Shield - Pa (Highmark) | $10 | 19% |
| Blue Shield - Wa (Regence) | $10 | 19% |
| Health Choices | $10 - $70 | 19% |
| Kaiser Domestic | $10 | 19% |
| U Of M Health Plan | $12 | 23% |
| Aetna | $14 - $130 | 26% |
| Geha | $14 - $71 | 26% |
| Medical Mutual | $14 | 26% |
| Meritain | $14 | 26% |
| Wc Accident Fund | $14 - $29 | 26% |
| Wc Advantage | $14 - $29 | 26% |
| Wc Aig | $14 - $29 | 26% |
| Wc Allied | $14 - $29 | 26% |
| Wc Amerisure | $14 - $29 | 26% |
| Wc Amtrust | $14 - $29 | 26% |
| Wc Asu Risk Mgt | $14 - $29 | 26% |
| Wc Berkley Admin | $14 - $29 | 26% |
| Wc Broadspire | $14 - $29 | 26% |
| Wc Bunch & Associates | $14 - $29 | 26% |
| Wc Ccmsi | $14 - $29 | 26% |
| Wc Emc Insurance Company | $14 - $29 | 26% |
| Wc Esis | $14 - $29 | 26% |
| Wc Fcci | $14 - $29 | 26% |
| Wc Federated | $14 - $29 | 26% |
| Wc Gallagher Bassett | $14 - $29 | 26% |
| Wc Genex Care For Ohio | $14 - $29 | 26% |
| Wc Guard Insurance Company | $14 - $29 | 26% |
| Wc Hartford | $14 - $29 | 26% |
| Wc Liberty Mutual | $14 - $29 | 26% |
| Wc Meijers | $14 - $29 | 26% |
| Wc Michigan | $14 - $29 | 26% |
| Wc Mitchell Frankenmuth | $14 - $29 | 26% |
| Wc Pma | $14 - $29 | 26% |
| Wc Sedgwick | $14 - $29 | 26% |
| Wc Sentry | $14 - $29 | 26% |
| Wc Travelers | $14 - $29 | 26% |
| Wc Tristar | $14 - $29 | 26% |
| Wc Walmart | $14 - $29 | 26% |
| Wc Zurich | $14 - $29 | 26% |
| Priority Health | $19 - $21 | 36% |
| Acs Benefit Services | $20 - $42 | 38% |
| Allied Benefit Systems | $20 - $42 | 38% |
| Claimchoice Adminstrators | $20 - $42 | 38% |
| Consociate | $20 - $42 | 38% |
| Cypress Benefit Administrators | $20 - $42 | 38% |
| Forest County Potawatomi | $20 - $42 | 38% |
| Health Smart | $20 - $42 | 38% |
| Healthgram | $20 - $42 | 38% |
| Healthscope | $20 - $42 | 38% |
| Secureone Preferred United Plans | $20 - $42 | 38% |
| Sisco Benefits | $20 - $42 | 38% |
| The Health Plan | $20 - $42 | 38% |
| Trustmark Small Business Benefits | $20 - $42 | 38% |
| Unified Group Services | $20 - $42 | 38% |
| Webtpa | $20 - $42 | 38% |
| Mclaren Health | $22 - $50 | 41% |
| Carelon Behavioral Health | $23 - $48 | 43% |
| Magellan Behavioral Health | $28 - $57 | 53% |
| Medicaid / KanCare | $29 - $74 | 54% |
| 1199 National Benefit Fund | $31 - $65 | 58% |
| Allied National Global Care | $31 - $65 | 58% |
| Asrm - Reliance Standard Life Insurance | $31 - $65 | 58% |
| Christian Care Ministry | $31 - $65 | 58% |
| Dean Health | $31 - $65 | 58% |
| Fallon Health | $31 - $65 | 58% |
| Family Life Insurance Company | $31 - $65 | 58% |
| Ghc Scw | $31 - $65 | 58% |
| Group Pension Administrators | $31 - $65 | 58% |
| International Benefit Administrators | $31 - $65 | 58% |
| Lifetime Benefit Solutions | $31 - $65 | 58% |
| Manhattan Life | $31 - $65 | 58% |
| Medi Share | $31 - $65 | 58% |
| Multiplan | $31 - $65 | 58% |
| Mvp | $31 - $65 | 58% |
| Pai | $31 - $65 | 58% |
| Pan-American Life | $31 - $65 | 58% |
| Paramount Hmo | $31 - $65 | 58% |
| Phcs | $31 - $65 | 58% |
| Trinity Health Share | $31 - $65 | 58% |
| Hap | $33 - $69 | 62% |
| Health Partners | $33 - $69 | 62% |
| Tufts Health Plan | $33 - $69 | 62% |
| Access Health | $34 - $70 | 64% |
| Acclaim | $34 - $70 | 64% |
| Administrative Concepts | $34 - $70 | 64% |
| Allegeant | $34 - $70 | 64% |
| Ameriben | $34 - $70 | 64% |
| American Family | $34 - $70 | 64% |
| American Healthcare Alliance | $34 - $70 | 64% |
| American National | $34 - $70 | 64% |
| American Republic | $34 - $70 | 64% |
| Amerihealth | $34 - $70 | 64% |
| Aultcare | $34 - $70 | 64% |
| Automated Benefit Services | $34 - $70 | 64% |
| Auxiant | $34 - $70 | 64% |
| Benefit Administrative Systems,Llc | $34 - $70 | 64% |
| Boon Chapman | $34 - $70 | 64% |
| Cam Administrative Services | $34 - $70 | 64% |
| Christian Brother Services | $34 - $70 | 64% |
| Christian Brothers Holy Cross | $34 - $70 | 64% |
| Cigna | $34 - $70 | 64% |
| Comprehensive Benefits | $34 - $70 | 64% |
| Continental Life Insurance | $34 - $70 | 64% |
| Custom Benefit Administrators | $34 - $70 | 64% |
| Employee Benefit Concepts | $34 - $70 | 64% |
| Employee Benefit Management | $34 - $70 | 64% |
| Enterprise Group Planning | $34 - $70 | 64% |
| Freedom Life Insurance Company | $34 - $70 | 64% |
| Group Administrators | $34 - $70 | 64% |
| Group Marketing Services | $34 - $70 | 64% |
| Guardian | $34 - $70 | 64% |
| Health America | $34 - $70 | 64% |
| Healthcare Management Admin | $34 - $70 | 64% |
| Healthez | $34 - $70 | 64% |
| Humana | $34 - $70 | 64% |
| Insight | $34 - $70 | 64% |
| Intercare | $34 - $70 | 64% |
| Jfp Benefit Management | $34 - $70 | 64% |
| Jp Farley Corporation | $34 - $70 | 64% |
| Key Benefit Administrator | $34 - $70 | 64% |
| Liberty Union Life Assurance Co | $34 - $70 | 64% |
| Lucent Health | $34 - $70 | 64% |
| Luminare Health | $34 - $70 | 64% |
| Luminare Health (Detroit) | $34 - $70 | 64% |
| Magnacare | $34 - $70 | 64% |
| Medben | $34 - $70 | 64% |
| Medcost | $34 - $70 | 64% |
| Mutual Health Services | $34 - $70 | 64% |
| Mutual Of Omaha | $34 - $70 | 64% |
| Ncas | $34 - $70 | 64% |
| Nippon Life Ins | $34 - $70 | 64% |
| Nova | $34 - $70 | 64% |
| Painters Union Insurance Fund | $34 - $70 | 64% |
| Physicians Mutual | $34 - $70 | 64% |
| Plumbers Local 98 Insurance Fund | $34 - $70 | 64% |
| Prairie States | $34 - $70 | 64% |
| Preferred One | $34 - $70 | 64% |
| Primary Physician Care | $34 - $70 | 64% |
| Professional Benefit Administrators | $34 - $70 | 64% |
| Siho Insurance Services | $34 - $70 | 64% |
| The Loomis Company | $34 - $70 | 64% |
| Unicare | $34 - $70 | 64% |
| UnitedHealthcare | $34 - $137 | 64% |
| Us Health And Life | $34 - $70 | 64% |
| Valenz | $34 - $70 | 64% |
| Western & Southern Financial Group | $34 - $70 | 64% |
| Wps | $34 - $70 | 64% |
| Coventry | $35 - $72 | 66% |
| First Health | $35 - $72 | 66% |
| Prime Health Services | $37 - $76 | 69% |
| Asr Health Benefits | $39 | 73% |
| Caresource | $39 | 73% |
| Varipro | $39 | 73% |
| Three Rivers Provider Network | $41 - $86 | 77% |
| Cmh Detroit Wayne Integrated Health Network | $46 - $95 | 86% |
| Cmh Lenawee County | $46 - $95 | 86% |
| Cmh Livingston County | $46 - $95 | 86% |
| Cmh Misc | $46 - $95 | 86% |
| Cmh Monroe County | $46 - $95 | 86% |
| Cmh Oakland County | $46 - $95 | 86% |
| Cmh Washtenaw County | $46 - $95 | 86% |
| Blue Care Network Advantage | $51 - $130 | 96% |
| Medicare (plans) | $51 - $133 | 96% |
| Align Senior Care | $52 - $133 | 98% |
| Hospice Advantage | $52 - $133 | 98% |
| Cca - Zing Health | $55 - $140 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $59 - $149 | 111% |
| Molina Marketplace | $68 - $172 | 128% |
| Health Cost Solutions | $80 - $205 | 150% |
| Vitalcore | $80 - $205 | 150% |
| Wellpath | $80 - $205 | 150% |
| Employee Benefit Logistic | $120 - $306 | 225% |