CMS Price Transparency Data

Blood antibody screen

Facility: Neshoba County General Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $40
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Neshoba County General Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.75x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $53 (100%)
Insurance Median: $40 (75%)
Cash: $53 (100% of Medicare)
Ins. Median: $40 (75% 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
Tricare $9 17%
Humana $10 19%
Magnolia Mcr Adv-All Other Plans $10 19%
Molina Comm-All Other Plans $10 19%
Molina Mcr Adv $10 19%
UnitedHealthcare $10 - $40 19%
Wellcare Mcr Adv-All Plans $10 19%
First Choice Comm Ip/Op Only - All Plans $12 23%
Aetna $38 71%
Magnolia Mcaid $40 75%
Molina Mcaid $40 75%
Mpcn Mcaid $40 75%
Cigna $49 92%
Affordable Health Care-All Plans $65 122%
Health Choice Ip/Op Only-All Plans $65 122%
Health Link Ip/Op Only-All Plans $65 122%
Geha-All Plans $68 128%
Multiplan-All Plans $68 128%
Ahs Ip/Op Only-All Plans $84 158%
Blue Cross Blue Shield $87 163%
Mpcn Ip/Op Only-All Other Plans $95 178%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL