CMS Price Transparency Data
Blood antibody screen
Facility: Mercy Health Saint Mary's
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $57
- Cash Discount Price: $51
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mercy Health Saint Mary's is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.07x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$51
Average discount available for prompt cash payment at this facility.
Insurance Median
$57
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: $51 (96%)
Insurance Median: $57 (107%)
Cash: $51 (96% of Medicare)
Ins. Median: $57 (107% 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 |
|---|---|---|
| U Of M Health Plan | $12 - $60 | 23% |
| Bcn Domestic | $13 | 24% |
| Blue Benefit Administrators Of Massachusetts | $13 | 24% |
| Blue Care Network | $13 | 24% |
| Blue Cross Blue Shield | $13 - $130 | 24% |
| Blue Distinction Transplant | $13 | 24% |
| Blue Shield - Ca | $13 | 24% |
| Blue Shield - Id (Regence) | $13 | 24% |
| Blue Shield - Ny Highmark Northeastern | $13 | 24% |
| Blue Shield - Ny Highmark Western | $13 | 24% |
| Blue Shield - Pa (Highmark) | $13 | 24% |
| Blue Shield - Wa (Regence) | $13 | 24% |
| Health Choices | $13 - $60 | 24% |
| Kaiser Domestic | $13 | 24% |
| Aetna | $14 - $130 | 26% |
| Geha | $14 - $60 | 26% |
| Medical Mutual | $14 | 26% |
| Meritain | $14 | 26% |
| Preferred One | $14 | 26% |
| Medicaid / KanCare | $29 - $76 | 54% |
| Access Health | $36 - $93 | 68% |
| Wc Accident Fund | $41 - $43 | 77% |
| Wc Advantage | $41 - $43 | 77% |
| Wc Aig | $41 - $43 | 77% |
| Wc Allied | $41 - $43 | 77% |
| Wc Amerisure | $41 - $43 | 77% |
| Wc Amtrust | $41 - $43 | 77% |
| Wc Asu Risk Mgt | $41 - $43 | 77% |
| Wc Berkley Admin | $41 - $43 | 77% |
| Wc Broadspire | $41 - $43 | 77% |
| Wc Bunch & Associates | $41 - $43 | 77% |
| Wc Ccmsi | $41 - $43 | 77% |
| Wc Emc Insurance Company | $41 - $43 | 77% |
| Wc Esis | $41 - $43 | 77% |
| Wc Fcci | $41 - $43 | 77% |
| Wc Federated | $41 - $43 | 77% |
| Wc Gallagher Bassett | $41 - $43 | 77% |
| Wc Genex Care For Ohio | $41 - $43 | 77% |
| Wc Guard Insurance Company | $41 - $43 | 77% |
| Wc Hartford | $41 - $43 | 77% |
| Wc Liberty Mutual | $41 - $43 | 77% |
| Wc Meijers | $41 - $43 | 77% |
| Wc Michigan | $41 - $43 | 77% |
| Wc Mitchell Frankenmuth | $41 - $43 | 77% |
| Wc Pma | $41 - $43 | 77% |
| Wc Sedgwick | $41 - $43 | 77% |
| Wc Sentry | $41 - $43 | 77% |
| Wc Travelers | $41 - $43 | 77% |
| Wc Tristar | $41 - $43 | 77% |
| Wc Walmart | $41 - $43 | 77% |
| Wc Zurich | $41 - $43 | 77% |
| Nomi Health | $42 - $44 | 79% |
| Acs Benefit Services | $43 - $45 | 81% |
| Allied Benefit Systems | $43 - $45 | 81% |
| Claimchoice Adminstrators | $43 - $45 | 81% |
| Consociate | $43 - $45 | 81% |
| Cypress Benefit Administrators | $43 - $45 | 81% |
| Forest County Potawatomi | $43 - $45 | 81% |
| Health Smart | $43 - $45 | 81% |
| Healthgram | $43 - $45 | 81% |
| Healthscope | $43 - $45 | 81% |
| Secureone Preferred United Plans | $43 - $45 | 81% |
| Sisco Benefits | $43 - $45 | 81% |
| The Health Plan | $43 - $45 | 81% |
| Trustmark Small Business Benefits | $43 - $45 | 81% |
| Unified Group Services | $43 - $45 | 81% |
| Webtpa | $43 - $45 | 81% |
| Asr Health Benefits | $48 - $50 | 90% |
| Hap | $48 - $61 | 90% |
| Caresource | $49 - $52 | 92% |
| Varipro | $49 - $51 | 92% |
| Blue Care Network Advantage | $51 - $130 | 96% |
| Medicare (plans) | $51 - $130 | 96% |
| Align Senior Care | $52 - $133 | 98% |
| Correctional Recovery | $52 - $133 | 98% |
| Hospice Faith | $52 - $133 | 98% |
| Hospice Of Holland | $52 - $133 | 98% |
| UnitedHealthcare | $53 - $137 | 100% |
| 1199 National Benefit Fund | $55 - $58 | 103% |
| Allied National Global Care | $55 - $58 | 103% |
| Asrm - Reliance Standard Life Insurance | $55 - $58 | 103% |
| Christian Care Ministry | $55 - $58 | 103% |
| Cigna | $55 - $58 | 103% |
| Dean Health | $55 - $58 | 103% |
| Fallon Health | $55 - $58 | 103% |
| Family Life Insurance Company | $55 - $58 | 103% |
| Ghc Scw | $55 - $58 | 103% |
| Group Pension Administrators | $55 - $58 | 103% |
| International Benefit Administrators | $55 - $58 | 103% |
| Lifetime Benefit Solutions | $55 - $58 | 103% |
| Manhattan Life | $55 - $58 | 103% |
| Medi Share | $55 - $58 | 103% |
| Multiplan | $55 - $58 | 103% |
| Mvp | $55 - $58 | 103% |
| Pai | $55 - $58 | 103% |
| Pan-American Life | $55 - $58 | 103% |
| Paramount Hmo | $55 - $58 | 103% |
| Phcs | $55 - $58 | 103% |
| Trinity Health Share | $55 - $58 | 103% |
| Acclaim | $57 - $60 | 107% |
| Administrative Concepts | $57 - $60 | 107% |
| Allegeant | $57 - $60 | 107% |
| Ameriben | $57 - $60 | 107% |
| American Family | $57 - $60 | 107% |
| American Healthcare Alliance | $57 - $60 | 107% |
| American Republic | $57 - $60 | 107% |
| Amerihealth | $57 - $60 | 107% |
| Aultcare | $57 - $60 | 107% |
| Automated Benefit Services | $57 - $60 | 107% |
| Auxiant | $57 - $60 | 107% |
| Benefit Administrative Systems,Llc | $57 - $60 | 107% |
| Boon Chapman | $57 - $60 | 107% |
| Cam Administrative Services | $57 - $60 | 107% |
| Christian Brother Services | $57 - $60 | 107% |
| Christian Brothers Holy Cross | $57 - $60 | 107% |
| Comprehensive Benefits | $57 - $60 | 107% |
| Continental Life Insurance | $57 - $60 | 107% |
| Custom Benefit Administrators | $57 - $60 | 107% |
| Employee Benefit Concepts | $57 - $60 | 107% |
| Employee Benefit Management | $57 - $60 | 107% |
| Enterprise Group Planning | $57 - $60 | 107% |
| Freedom Life Insurance Company | $57 - $60 | 107% |
| Group Administrators | $57 - $60 | 107% |
| Group Marketing Services | $57 - $60 | 107% |
| Guardian | $57 - $60 | 107% |
| Health America | $57 - $60 | 107% |
| Healthez | $57 - $60 | 107% |
| Humana | $57 - $79 | 107% |
| Insight | $57 - $60 | 107% |
| Intercare | $57 - $60 | 107% |
| Jfp Benefit Management | $57 - $60 | 107% |
| Jp Farley Corporation | $57 - $60 | 107% |
| Key Benefit Administrator | $57 - $60 | 107% |
| Liberty Union Life Assurance Co | $57 - $60 | 107% |
| Lucent Health | $57 - $60 | 107% |
| Luminare Health | $57 - $60 | 107% |
| Luminare Health (Detroit) | $57 - $60 | 107% |
| Medben | $57 - $60 | 107% |
| Medcost | $57 - $60 | 107% |
| Mutual Health Services | $57 - $60 | 107% |
| Mutual Of Omaha | $57 - $60 | 107% |
| Ncas | $57 - $60 | 107% |
| Nippon Life Ins | $57 - $60 | 107% |
| Nova | $57 - $60 | 107% |
| Painters Union Insurance Fund | $57 - $60 | 107% |
| Physicians Mutual | $57 - $60 | 107% |
| Plumbers Local 98 Insurance Fund | $57 - $60 | 107% |
| Prairie States | $57 - $60 | 107% |
| Primary Physician Care | $57 - $60 | 107% |
| Professional Benefit Administrators | $57 - $60 | 107% |
| The Loomis Company | $57 - $60 | 107% |
| Unicare | $57 - $60 | 107% |
| Us Health And Life | $57 - $60 | 107% |
| Valenz | $57 - $60 | 107% |
| Western & Southern Financial Group | $57 - $60 | 107% |
| Wps | $57 - $60 | 107% |
| Coventry | $59 - $63 | 111% |
| First Health | $59 - $63 | 111% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $59 - $150 | 111% |
| Oscar | $66 - $170 | 124% |
| Molina Marketplace | $68 - $172 | 128% |
| Cmh Allegan County | $75 - $79 | 141% |
| Cmh Ausable Valley | $75 - $79 | 141% |
| Cmh Barry County | $75 - $79 | 141% |
| Cmh Berrien County | $75 - $79 | 141% |
| Cmh Cass County | $75 - $79 | 141% |
| Cmh Clinton-Eaton-Ingham County | $75 - $79 | 141% |
| Cmh Kalamazoo | $75 - $79 | 141% |
| Cmh Kent County | $75 - $79 | 141% |
| Cmh Lenawee County | $75 - $79 | 141% |
| Cmh Misc | $75 - $79 | 141% |
| Cmh Monroe County | $75 - $79 | 141% |
| Cmh Montcalm County | $75 - $79 | 141% |
| Cmh Muskegon County | $75 - $79 | 141% |
| Cmh Newaygo County | $75 - $79 | 141% |
| Cmh North Country | $75 - $79 | 141% |
| Cmh Northern Lakes County | $75 - $79 | 141% |
| Cmh Ottawa County | $75 - $79 | 141% |
| Cmh Van Buren County | $75 - $79 | 141% |
| Cmh West Mi County | $75 - $79 | 141% |
| Magellan Behavioral Health | $75 - $79 | 141% |
| Priority Health | $76 - $78 | 143% |
| Vitalcore | $80 - $206 | 150% |
| Wellpath | $80 - $206 | 150% |