CMS Price Transparency Data

Blood antibody screen

Facility: Howard County Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $68
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Howard County Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.28x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $120 (225%)
Insurance Median: $68 (128%)
Cash: $120 (225% of Medicare)
Ins. Median: $68 (128% 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
UnitedHealthcare $4 - $115 8%
Aetna $6 - $114 11%
Medica Standard Premier $10 - $19 19%
Medica Elevate $19 - $36 36%
Midland'S Choice $20 38%
Blue Cross Blue Shield $34 - $114 64%
Molina Healthcare $60 113%
Nebraska Total Care $60 113%
Great Plains $68 128%
Medica Chi $68 128%
Tricare $90 169%
Medica Chi Aco $109 205%
Medica Choice National $109 205%
Medica Ifb Aco $115 216%
Medica Ifb Open Access $115 216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals