CMS Price Transparency Data

Blood antibody screen

Facility: Essentia Health Deer River

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 Deer River 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 115 10Th Avenue Northeast, Deer River, 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.

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
Blue Cross Blue Shield	$50 - $188	94%
Blue Plus Pmap Pcc Prime	$50 - $147	94%
Healthpartners Care Pmap	$52 - $108	98%
Itasca Med Care	$53	100%
Advocare/Security Health	$55 - $115	103%
Freedom Blue Ppo	$55 - $115	103%
Healthpartners Care Msho / Mcr Adv	$55 - $115	103%
Imcare Msho Pcc Prime	$55 - $115	103%
Imcare Msho Ref Req	$55 - $115	103%
Medica Advantage Solutions	$55 - $115	103%
Medica Msho/Dual Solutions	$55 - $115	103%
Medica Prime Solution Group	$55 - $115	103%
Medicare (plans)	$55 - $115	103%
Healthpartners	$87 - $214	163%
America'S Ppo	$100 - $208	188%
Cigna	$101 - $214	190%
Healthpartners Pcc Prime	$101 - $214	190%
Aetna	$110 - $228	207%

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 $98.
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 Essentia Health Deer River 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.