CMS Price Transparency Data
Blood antibody screen
Facility: Chelsea Hospital
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $35
- Cash Discount Price: $46
- vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Chelsea Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.66x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$46
Average discount available for prompt cash payment at this facility.
Insurance Median
$35
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: $46 (86%)
Insurance Median: $35 (66%)
Cash: $46 (86% of Medicare)
Ins. Median: $35 (66% 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 | $7 - $51 | 13% |
| Bcn Domestic | $12 | 23% |
| Blue Benefit Administrators Of Massachusetts | $12 | 23% |
| Blue Care Network | $12 | 23% |
| Blue Distinction Transplant | $12 | 23% |
| Blue Shield - Ca | $12 | 23% |
| Blue Shield - Id (Regence) | $12 | 23% |
| Blue Shield - Ny Highmark Northeastern | $12 | 23% |
| Blue Shield - Ny Highmark Western | $12 | 23% |
| Blue Shield - Pa (Highmark) | $12 | 23% |
| Blue Shield - Wa (Regence) | $12 | 23% |
| Health Choices | $12 - $63 | 23% |
| Kaiser Domestic | $12 | 23% |
| U Of M Health Plan | $12 | 23% |
| Wc Accident Fund | $12 - $25 | 23% |
| Wc Advantage | $12 - $25 | 23% |
| Wc Aig | $12 - $25 | 23% |
| Wc Allied | $12 - $25 | 23% |
| Wc Amerisure | $12 - $25 | 23% |
| Wc Amtrust | $12 - $25 | 23% |
| Wc Asu Risk Mgt | $12 - $25 | 23% |
| Wc Berkley Admin | $12 - $25 | 23% |
| Wc Broadspire | $12 - $25 | 23% |
| Wc Bunch & Associates | $12 - $25 | 23% |
| Wc Ccmsi | $12 - $25 | 23% |
| Wc Emc Insurance Company | $12 - $25 | 23% |
| Wc Esis | $12 - $25 | 23% |
| Wc Fcci | $12 - $25 | 23% |
| Wc Federated | $12 - $25 | 23% |
| Wc Gallagher Bassett | $12 - $25 | 23% |
| Wc Genex Care For Ohio | $12 - $25 | 23% |
| Wc Guard Insurance Company | $12 - $25 | 23% |
| Wc Hartford | $12 - $25 | 23% |
| Wc Liberty Mutual | $12 - $25 | 23% |
| Wc Meijers | $12 - $25 | 23% |
| Wc Michigan | $12 - $25 | 23% |
| Wc Mitchell Frankenmuth | $12 - $25 | 23% |
| Wc Pma | $12 - $25 | 23% |
| Wc Sedgwick | $12 - $25 | 23% |
| Wc Sentry | $12 - $25 | 23% |
| Wc Travelers | $12 - $25 | 23% |
| Wc Tristar | $12 - $25 | 23% |
| Wc Walmart | $12 - $25 | 23% |
| Wc Zurich | $12 - $25 | 23% |
| Aetna | $14 - $51 | 26% |
| Geha | $14 - $64 | 26% |
| Meritain | $14 | 26% |
| Medicaid / KanCare | $29 - $30 | 54% |
| Access Health | $31 - $63 | 58% |
| Acclaim | $31 - $63 | 58% |
| Administrative Concepts | $31 - $63 | 58% |
| Allegeant | $31 - $63 | 58% |
| Ameriben | $31 - $63 | 58% |
| American Family | $31 - $63 | 58% |
| American Healthcare Alliance | $31 - $63 | 58% |
| American National | $31 - $63 | 58% |
| American Republic | $31 - $63 | 58% |
| Amerihealth | $31 - $63 | 58% |
| Aultcare | $31 - $63 | 58% |
| Automated Benefit Services | $31 - $63 | 58% |
| Auxiant | $31 - $63 | 58% |
| Benefit Administrative Systems,Llc | $31 - $63 | 58% |
| Boon Chapman | $31 - $63 | 58% |
| Cam Administrative Services | $31 - $63 | 58% |
| Christian Brother Services | $31 - $63 | 58% |
| Christian Brothers Holy Cross | $31 - $63 | 58% |
| Comprehensive Benefits | $31 - $63 | 58% |
| Continental Life Insurance | $31 - $63 | 58% |
| Coventry | $31 - $65 | 58% |
| Custom Benefit Administrators | $31 - $63 | 58% |
| Employee Benefit Concepts | $31 - $63 | 58% |
| Employee Benefit Management | $31 - $63 | 58% |
| Enterprise Group Planning | $31 - $63 | 58% |
| First Health | $31 - $65 | 58% |
| Freedom Life Insurance Company | $31 - $63 | 58% |
| Group Administrators | $31 - $63 | 58% |
| Group Marketing Services | $31 - $63 | 58% |
| Guardian | $31 - $63 | 58% |
| Health America | $31 - $63 | 58% |
| Healthcare Management Admin | $31 - $63 | 58% |
| Healthez | $31 - $63 | 58% |
| Humana | $31 - $63 | 58% |
| Insight | $31 - $63 | 58% |
| Intercare | $31 - $63 | 58% |
| Jfp Benefit Management | $31 - $63 | 58% |
| Jp Farley Corporation | $31 - $63 | 58% |
| Key Benefit Administrator | $31 - $63 | 58% |
| Liberty Union Life Assurance Co | $31 - $63 | 58% |
| Lucent Health | $31 - $63 | 58% |
| Luminare Health | $31 - $63 | 58% |
| Luminare Health (Detroit) | $31 - $63 | 58% |
| Magnacare | $31 - $63 | 58% |
| Medben | $31 - $63 | 58% |
| Medcost | $31 - $63 | 58% |
| Medical Mutual | $31 - $63 | 58% |
| Mutual Health Services | $31 - $63 | 58% |
| Mutual Of Omaha | $31 - $63 | 58% |
| Ncas | $31 - $63 | 58% |
| Nippon Life Ins | $31 - $63 | 58% |
| Nova | $31 - $63 | 58% |
| Painters Union Insurance Fund | $31 - $63 | 58% |
| Physicians Mutual | $31 - $63 | 58% |
| Plumbers Local 98 Insurance Fund | $31 - $63 | 58% |
| Prairie States | $31 - $63 | 58% |
| Preferred One | $31 - $63 | 58% |
| Primary Physician Care | $31 - $63 | 58% |
| Professional Benefit Administrators | $31 - $63 | 58% |
| Siho Insurance Services | $31 - $63 | 58% |
| Sisco Benefits | $31 - $63 | 58% |
| The Loomis Company | $31 - $63 | 58% |
| Unicare | $31 - $63 | 58% |
| UnitedHealthcare | $31 - $64 | 58% |
| Us Health And Life | $31 - $63 | 58% |
| Valenz | $31 - $63 | 58% |
| Western & Southern Financial Group | $31 - $63 | 58% |
| Wps | $31 - $63 | 58% |
| Cigna | $32 - $67 | 60% |
| Hospice Of Michigan | $32 - $66 | 60% |
| Priority Health | $32 - $35 | 60% |
| 1199 National Benefit Fund | $34 - $71 | 64% |
| Allied National Global Care | $34 - $71 | 64% |
| Asrm - Reliance Standard Life Insurance | $34 - $71 | 64% |
| Christian Care Ministry | $34 - $71 | 64% |
| Dean Health | $34 - $71 | 64% |
| Fallon Health | $34 - $71 | 64% |
| Family Life Insurance Company | $34 - $71 | 64% |
| Ghc Scw | $34 - $71 | 64% |
| Group Pension Administrators | $34 - $71 | 64% |
| International Benefit Administrators | $34 - $71 | 64% |
| Lifetime Benefit Solutions | $34 - $71 | 64% |
| Manhattan Life | $34 - $71 | 64% |
| Medi Share | $34 - $71 | 64% |
| Multiplan | $34 - $71 | 64% |
| Mvp | $34 - $71 | 64% |
| Pai | $34 - $71 | 64% |
| Pan-American Life | $34 - $71 | 64% |
| Paramount Hmo | $34 - $71 | 64% |
| Phcs | $34 - $71 | 64% |
| Trinity Health Share | $34 - $71 | 64% |
| Hap | $36 - $74 | 68% |
| Health Partners | $36 - $74 | 68% |
| Tufts Health Plan | $36 - $74 | 68% |
| Prime Health Services | $37 - $76 | 69% |
| Three Rivers Provider Network | $41 - $86 | 77% |
| Asr Health Benefits | $42 | 79% |
| Caresource | $42 | 79% |
| Varipro | $42 | 79% |
| Cmh Detroit Wayne Integrated Health Network | $46 - $95 | 86% |
| Cmh Jackson County/Lifeways | $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 Washtenaw County | $46 - $95 | 86% |
| Magellan Behavioral Health | $46 - $95 | 86% |
| Blue Care Network Advantage | $51 | 96% |
| Medicare (plans) | $51 - $52 | 96% |
| Align Senior Care | $52 | 98% |
| Angela Hospice | $52 | 98% |
| Arbor Hospice | $52 | 98% |
| Heartland Hospice | $52 | 98% |
| Cca - Zing Health | $55 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $59 | 111% |
| Molina Marketplace | $68 | 128% |
| Health Cost Solutions | $81 | 152% |
| Vitalcore | $81 | 152% |
| Wellpath | $81 | 152% |
| Employee Benefit Logistic | $117 | 220% |