CMS Price Transparency Data

Blood antibody screen

Facility: Cambridge Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $120
Cash Discount Price: $109
vs. Medicare Baseline: 2.25x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Cambridge Medical Center is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.25x the Medicare baseline. Located in 701 South Dellwood Avenue, Cambridge, MN.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $109 (205%)

Insurance Median: $120 (225%)

Cash: $109 (205% of Medicare)

Ins. Median: $120 (225% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 225% of the Medicare baseline (a markup of 125%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Hennepin Health	$10	19%
Medicaid / KanCare	$10	19%
Blue Cross Blue Shield	$18 - $70	34%
Ucare Pmap (A B C D E G N O S U R H)	$19 - $62	36%
Aetna	$41 - $183	77%
Medica Health System	$47 - $249	88%
Medicare (plans)	$54	101%
Medica	$56 - $236	105%
Scha Msho (D)	$59	111%
Healthpartners	$62 - $209	116%
UnitedHealthcare	$63 - $213	118%
Medica Ubh (D)	$64 - $259	120%
Health Partners	$68 - $228	128%
Medica Mhps	$70 - $236	131%
Americas Ppo (Araz)(B D N O R S V)	$71 - $238	133%
Americas Ppo (Araz) (B D N H O R S)	$77 - $259	145%
First Health (A C E G H U B D N O R S)	$77 - $259	145%
All Other Contracted Care (A B C D E G H N O R S U)	$92 - $309	173%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $109.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cambridge Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.