CMS Price Transparency Data

Blood antibody screen

Facility: Carepartners Rehabilitation Hospital, Lllp

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $97
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Carepartners Rehabilitation Hospital, Lllp is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.82x the Medicare baseline. Located in 68 Sweeten Creek Rd, Asheville, NC.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $239 (449%)
Insurance Median: $97 (182%)
Cash: $239 (449% of Medicare)
Ins. Median: $97 (182% 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
Aetna $10 - $157 19%
Alignment Health $10 19%
Devoted Health $10 19%
Humana $10 19%
Provider Partners Health Plan $10 19%
United $10 - $142 19%
Wellcare $10 - $144 19%
Amerihealth Caritas $11 21%
Cigna $11 21%
Healthteam Advantage $11 21%
Troy Healthcare $11 21%
Longevity Health Plan $12 23%
Amerihealth $15 28%
Ambetter / Centene $18 34%
Apex Health $48 90%
Blue Cross Blue Shield $97 - $140 182%
Oscar $129 242%
Caresource $143 269%
Medcost $171 321%
Multiplan $196 368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 68 Sweeten Creek Rd, Asheville, NC 28803
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL