CMS Price Transparency Data

Blood antibody screen

Facility: St James Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$61
about 1.2× the $53 Medicare rate · typically $23–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $5 under the fair price · 1.1× Medicare
Medicare pays $53 Fair price $61 This hospital $56 Hospital's list price $162

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Highest price of the 9 MT hospitals we have prices for — worth calling around.

Cheapest $8 Priciest $56

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $61 (about 1.2× the $53 Medicare rate). St James Hospital charges insurers about $56 — about the fair price. Located in Butte, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $54 - $138 101%
Blue Cross Blue Shieldmajor $63 - $162 118%
Aetnamajor $152 - $154 285%
Cignamajor $84 - $154 158%
Humanamajor $55 103%
GEHA $136 - $138 255%
PacificSource $52 - $154 98%
+ 6 smaller / regional plans $38 - $154

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Facility Profile & Credentials

  • Address: 400 S Clark St, Butte, MT 59701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals