CMS Price Transparency Data

Blood antibody screen

Facility: Stillwater Billings Clinic

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $20
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Stillwater Billings Clinic is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.38x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $35 (66%)
Insurance Median: $20 (38%)
Cash: $35 (66% of Medicare)
Ins. Median: $20 (38% 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 $6 - $58 11%
Humana $6 - $42 11%
Pacific Source Mcr Advantage $6 - $41 11%
Pacific Steel Direct - All Plans $6 - $43 11%
Tricare $6 - $41 11%
Pacific Source Billings Clinic $7 - $46 13%
Allied Core Value $8 - $53 15%
Mountain Health Coop - All Plans $8 - $56 15%
Rci Wyoben $8 - $55 15%
Wyo-Ben Inc- All Plans $8 - $55 15%
Aetna $9 - $59 17%
All Savers-All Plans $9 - $58 17%
Allegiance Direct Ppo - All Other Plans $9 - $58 17%
Blackhawk - All Plans $9 - $58 17%
Boon Chapman First Choice Health $9 - $59 17%
Cigna $9 - $58 17%
Ebms First Choice Health $9 - $59 17%
Ebms Interwest $9 - $58 17%
Ebms Town Pump $9 - $58 17%
First Choice- All Plans $9 - $59 17%
Gpa Interwest- All Plans $9 - $58 17%
Interwest Health-All Plans $9 - $58 17%
Mtada- All Plans $9 - $58 17%
Murdoch Oil - All Plans $9 - $59 17%
Pacific Source Voyager - All Other Plans $9 - $58 17%
Pacificsource Nav $9 - $58 17%
Prodegi (Y-Tex Corp)- All Plans $9 - $58 17%
Rci First Choice Health - All Other Plans $9 - $59 17%
Rci Interwest $9 - $58 17%
Ryegate Public Schools - All Plans $9 - $59 17%
Savatree - All Plans $9 - $59 17%
Tabs - All Plans $9 - $59 17%
Town Pump Inc- All Plans $9 - $58 17%
Trustmark First Choice Health $9 - $59 17%
UnitedHealthcare $9 - $58 17%
Zenith First Choice Health- All Plans $9 - $59 17%
Allegiance State Of Mt $13 - $85 24%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals