CMS Price Transparency Data

Blood antibody screen

Facility: Little Falls Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$21
about 0.4× the $53 Medicare rate · typically $9–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Well above the fair price
about $32 over the fair price · 1.0× Medicare
Medicare pays $53 Fair price $21 This hospital $53 Cash price $35 Hospital's list price $131

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $53

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

A fair price for a Blood antibody screen is about $21 (about 0.4× the $53 Medicare rate). Little Falls Hospital charges insurers about $53, or about $35 in cash — well above the fair price. Located in Little Falls, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $21. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $6 - $68 11%
Blue Cross Blue Shieldmajor $6 - $122 11%
Aetnamajor $39 - $68 73%
Cignamajor $111 208%
Humanamajor $40 - $68 75%
CDPHP $6 - $68 11%
Fidelis Care $8 - $68 15%
MVP Health Care $6 - $68 11%
+ 1 smaller / regional plan $6 - $68

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals