CMS Price Transparency Data

Blood antibody screen

Facility: Munson Healthcare Grayling Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $82
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Munson Healthcare Grayling Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.54x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $102 (192%)
Insurance Median: $82 (154%)
Cash: $102 (192% of Medicare)
Ins. Median: $82 (154% 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
UnitedHealthcare $5 - $80 9%
Blue Cross Blue Shield $7 - $27 13%
Mclaren Health Plan $8 - $75 15%
Aetna $10 - $102 19%
Cigna $10 - $100 19%
Cofinity $10 - $105 19%
Priority Health $10 - $100 19%
Meridian $27 51%
Molina $27 - $56 51%
Atrium King Centre Skilled Nursing Services $52 98%
Blue Care Network $52 98%
Hap (Health Alliance Plan) $52 - $107 98%
Humana $52 98%
Medicare (plans) $52 98%
Michigan Amish Medical Board $52 98%
Northern Michigan Mennonite Group $52 98%
Promedica $52 98%
Wellcare (Meridian) $52 98%
Wellspring Lutheran Services Skilling Nursing Services $52 98%
Hospice Of Michigan $63 - $80 118%
Munson Hospice $74 - $852 139%
Asr/Physicians Care $84 - $107 158%
Medical Cost Savings Solution $84 - $107 158%
Nomi Health $84 - $107 158%
The Robbins Group And Regency Employee Benefits $84 - $107 158%
Wds Enterprise Group Planning $84 - $107 158%
Employee Benefits Logistics $88 165%
First Health/Coventry Network $89 - $114 167%
Provider Network Of America Group Health $89 - $114 167%
Three Rivers Provider Network $89 - $114 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals