CMS Price Transparency Data

Blood antibody screen

Facility: Perham Health

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $17
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Perham Health is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.32x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $31 (58%)
Insurance Median: $17 (32%)
Cash: $31 (58% of Medicare)
Ins. Median: $17 (32% 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 $13 - $32 24%
Health Partners Mcr Adv $16 30%
Humana $16 30%
Medica Mcr Adv $16 30%
Medicare (plans) $16 - $18 30%
Ucare Mn Senior Health Options $16 30%
UnitedHealthcare $16 - $37 30%
Medica Mcaid Mn Care $17 32%
Medicaid / KanCare $17 32%
Ucare Mn Medical Assistance $17 32%
Ucare Mn Minnesota Care $17 32%
Ucare Mn Senior Care Plus $17 32%
Ucare Mn Special Needs Basic Care $17 32%
Ucare Mn Special Needs Basic Care Dual $17 32%
Medica Mn (Msho) $19 36%
Ucare Individual And Family Plan-All Other Plans $19 36%
Medica Mn Senior Hp/Outside Mn $21 39%
Health Partners Minnesota Care $24 45%
Medica Commercial-All Other Plans $34 64%
Preferred One (Pchp, Pic, Pas)-All Other Plans $35 66%
Health Partners-All Plans $39 73%
Preferred One (Ppo) $40 75%
Sanford Health Plan-All Plans $40 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals