CMS Price Transparency Data

Blood antibody screen

Facility: Gila Regional Medical Center

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 0.8× the $53 Medicare rate · typically $12–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $53 Fair price $44 This hospital $47 Cash price $132 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 6 of 8 other NM hospitals charge more for the same procedure.

Cheapest $10 Priciest $60

Black dot = this hospital, among the 9 NM hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $44 (about 0.8× the $53 Medicare rate). Gila Regional Medical Center charges insurers about $47, or about $132 in cash — about the fair price. Located in Silver City, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $47 - $115 88%
Blue Cross Blue Shieldmajor $46 - $47 86%
Presbyterian $14 - $134 26%
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1313 E 32Nd St, Silver City, NM 88061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals