CMS Price Transparency Data

Blood antibody screen

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $58
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ste Genevieve County Memorial Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.09x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $93 (175%)
Insurance Median: $58 (109%)
Cash: $93 (175% of Medicare)
Ins. Median: $58 (109% 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
Healthy_Blue $9 17%
Homestate $9 17%
Medicaid / KanCare $9 17%
Uhc_Community $9 17%
Blue Cross Blue Shield $47 - $138 88%
Medicare (plans) $47 88%
Va $47 88%
Aetna $48 - $144 90%
Allwell $48 90%
Pphp $54 101%
UnitedHealthcare $55 - $93 103%
Ambetter / Centene $58 109%
Meritain $144 270%
Cigna $153 287%
Multiplan/Phcs $159 299%
Healthlink_Compmanagement $166 312%
Healthlink_Hmo $166 312%
Healthlink_Ppo $166 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwys 61 & 32, Sainte Genevieve, MO 63670
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals