CMS Price Transparency Data

Blood antibody screen

Facility: Essentia Health Moose Lake

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $102
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Essentia Health Moose Lake is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.92x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $98 (184%)
Insurance Median: $102 (192%)
Cash: $98 (184% of Medicare)
Ins. Median: $102 (192% 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
Blue Cross Blue Shield $36 - $188 68%
Blue Plus Pmap Pcc Prime $36 - $147 68%
Medica Access $51 - $167 96%
Healthpartners Care Pmap $52 - $108 98%
Primewest $52 98%
Itasca Med Care $53 100%
Sanford Healthplan $55 - $121 103%
Advocare/Security Health $61 - $126 115%
Freedom Blue Ppo $61 - $126 115%
Healthpartners Care Msho / Mcr Adv $61 - $126 115%
Imcare Msho Pcc Prime $61 - $126 115%
Imcare Msho Ref Req $61 - $126 115%
Medica Advantage Solutions $61 - $126 115%
Medica Msho/Dual Solutions $61 - $126 115%
Medica Prime Solution Group $61 - $126 115%
Medicare (plans) $61 - $126 115%
Nd Va Administration $61 - $126 115%
Platinum Blue/Vantage Blue $61 - $126 115%
Primewest Msho $61 - $126 115%
Secure Blue Msho $61 - $126 115%
Ubh Cost Plan $61 - $126 115%
Ubh Msho $61 - $126 115%
Ucare Msho $61 - $126 115%
UnitedHealthcare $61 - $243 115%
Ucare $85 - $176 160%
Healthpartners $90 - $214 169%
Medica $92 - $213 173%
Medica Uplan $92 - $192 173%
Wea $93 - $206 175%
America'S Ppo $100 - $208 188%
Cigna $101 - $214 190%
Healthpartners Pcc Prime $101 - $214 190%
Medica Choice $106 - $219 199%
Wps $108 - $225 203%
Aetna $110 - $228 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals