CMS Price Transparency Data

Blood antibody screen

Facility: Cheshire Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $56
Cash Discount Price: $49
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Cheshire Medical Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.05x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $49 (92%)

Insurance Median: $56 (105%)

Cash: $49 (92% of Medicare)

Ins. Median: $56 (105% 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
UnitedHealthcare	$8 - $134	15%
Amerihealth Caritas Nh	$9 - $22	17%
Granite State Health Plan	$9 - $29	17%
Wellsense Health Plan	$9 - $60	17%
Aetna	$10 - $120	19%
Ambetter / Centene	$10 - $50	19%
Blue Cross Blue Shield	$10 - $181	19%
Cigna	$10 - $87	19%
Martin'S Point Generations Advantage	$10 - $56	19%
Mvp	$10 - $87	19%
Wellcare Health Plans	$10 - $56	19%
Tufts Health Plan	$26 - $112	49%
Martin'S Point Health Care	$27 - $56	51%
Harvard Pilgrim Health Care Of Ne	$37 - $174	69%
Mass General Brigham Health Plan	$37 - $176	69%
Maine Community Health Options	$79	148%
First Health/Hcvm	$150	282%
Phcs	$158	297%

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 $49.
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 Cheshire Medical Center 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.