CMS Price Transparency Data

Blood antibody screen

Facility: Bertrand Chaffee Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $10
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Bertrand Chaffee Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $45 (85%)
Insurance Median: $10 (19%)
Cash: $45 (85% of Medicare)
Ins. Median: $10 (19% 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
Blue Cross Blue Shield $6 - $7 11%
Comm Blue Essential $6 11%
Community Blue $6 11%
Community Care - Bc $6 11%
Fidelis Care Of New York $6 11%
Fidelis Essential Plans $6 11%
Ghi Medical $6 11%
Gowanda Correctional Fac $6 11%
Medicaid / KanCare $6 11%
Molina Essential Plan $6 11%
Molina Heathcare Of Wny $6 11%
Seneca Nation Health Dept $6 11%
Senior Blue - Bc $6 11%
United Hc - Community Pln $6 11%
United Hc Essential Plan $6 11%
Univera Hc Myhealth $6 11%
Univera Hc Myhealth+ $6 - $8 11%
Yourcare $6 11%
Iha Encompass 65 $8 - $10 15%
Univera Essential Plans $8 15%
Univera Hc Child Health+ $8 15%
Univera Plus Med $8 15%
Advantra-Mcr Advantage $10 19%
Aetna $10 - $53 19%
Centers Plan Hlty Living $10 19%
Champva $10 19%
Cigna $10 - $53 19%
Ctrs Plan For Hlthy Livng $10 19%
Geisinger Health Plan $10 19%
Humana $10 19%
Lifetime Benefits $10 19%
Medicare (plans) $10 19%
Mutual Of Omaha $10 19%
Nova Healthcare $10 19%
Optimum Healthcare - Mcr $10 19%
Todays Option - Amer Prog $10 19%
Tricare $10 19%
United Hc Mcr Solutions $10 19%
UnitedHealthcare $10 19%
Univera Senior Choice $10 19%
Wellcare $10 19%
Univera Healthcare $11 21%
Private Pay $45 85%
American Progressive Ins. $53 100%
Commercial / Misc $53 100%
Global Excel Mgt $53 100%
Guardian Life Ins. Co. $53 100%
Mvp Commercial $53 100%
No Amer Meritian Health $53 100%
No-Fault $53 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals