CMS Price Transparency Data

Blood antibody screen

Facility: Mary Lanning Healthcare

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $17
Cash Discount Price: $85
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Mary Lanning Healthcare is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.32x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $85 (160%)

Insurance Median: $17 (32%)

Cash: $85 (160% of Medicare)

Ins. Median: $17 (32% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $161	6%
Nhn/Mna-All Plans	$3 - $131	6%
Aetna	$6 - $142	11%
UnitedHealthcare	$8 - $16	15%
Tricare	$9	17%
Medica Mcr Adv	$10	19%
Ne Total Care Mcr Adv	$10	19%
Va Ccn - All Plans	$10	19%
Consociate Inc-All Plans	$15 - $135	28%
Ambetter / Centene	$16 - $44	30%
Medica-All Other Plans	$17 - $140	32%
Workers Compensation-All Plans	$21 - $158	39%
Multiplan-All Plans	$25 - $153	47%
Provider Network Of America-All Plans	$25 - $145	47%
Midlands Choice-All Plans	$145	272%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $85.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Lanning Healthcare is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.