CMS Price Transparency Data

Blood antibody screen

Facility: Atrium Health Union

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $98
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Atrium Health Union is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.84x the Medicare baseline. Located in 600 Hospital Dr, Monroe, NC.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $113 (212%)
Insurance Median: $98 (184%)
Cash: $113 (212% of Medicare)
Ins. Median: $98 (184% 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
Trillium $14 - $31 26%
Alliance $15 - $35 28%
Amerihealth Caritas $15 - $30 28%
Carolina Complete Health $15 - $30 28%
Healthy Blue $15 - $30 28%
Partners $15 - $29 28%
UnitedHealthcare $15 - $107 28%
Vaya $15 - $30 28%
Wellcare $15 - $30 28%
Humana $52 98%
Aetna $53 - $138 100%
Cigna $53 - $152 100%
Blue Cross Blue Shield $55 - $84 103%
Ortho Carolina $64 120%
Ambetter / Centene $67 - $82 126%
Employers Health Network $100 - $120 188%
Medcost $122 - $147 229%
Magellan $135 254%
Gmmi $147 276%
Quik Trip $147 276%
Healthgram $180 338%
Choicecare $192 361%
First Health $192 361%
Beechstreet $203 381%
Private Health Care Systems $203 381%
Provider Select $203 381%
Multiplan $214 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Hospital Dr, Monroe, NC 28112
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals