CMS Price Transparency Data

Blood antibody screen

Facility: Holland Community Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $21
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Holland Community Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.39x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $30 (56%)
Insurance Median: $21 (39%)
Cash: $30 (56% of Medicare)
Ins. Median: $21 (39% 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
Nomi Health - All Plans $5 - $6 9%
UnitedHealthcare $5 - $65 9%
Life Circles-All Plans $9 17%
Aetna $10 - $13 19%
Health Alliance Mcr Adv $10 19%
Ph Mcr Adv $10 19%
Va Ccn - All Plans $10 19%
Longevity Health Plan-All Plans $11 21%
Cofinity -All Plans $12 23%
Asr - All Plans $13 24%
Health Alliance Ahl - All Other Plans $13 24%
Health Alliance Hmo $13 24%
Sisco Epi $13 24%
Sisco-All Other Plans $13 24%
Molina Mcaid - All Plans $16 - $21 30%
Ph Mcaid $16 - $21 30%
Multiplan - All Plans $43 - $57 81%
Benefit Source Inc-All Plans $44 - $58 83%
First Health-All Plans $44 - $58 83%
Usa Managed Care-All Plans $44 - $58 83%
Integrated Health Plans-All Plans $47 - $62 88%
Cigna $91 171%
Priority Health - All Other Plans $100 188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals