CMS Price Transparency Data

Blood antibody screen

Facility: Wood County Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $49
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Wood County Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $60 (113%)
Insurance Median: $49 (92%)
Cash: $60 (113% of Medicare)
Ins. Median: $49 (92% 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 $4 - $47 8%
Mmo $36 - $53 68%
Aetna $47 - $49 88%
Buckeye $47 - $80 88%
Caresource $47 - $56 88%
Humana $47 - $55 88%
Medicare (plans) $47 88%
Paramount $47 - $48 88%
Perennial $47 88%
Summacare $47 88%
United_Healthcare $47 - $53 88%
Frontpath $48 90%
Medigold $48 90%
Advanced_Medical_Pricing $49 92%
Cigna $49 92%
Medben $49 92%
Occunet $49 92%
Valor $49 92%
Ohio_Health_Choice $51 - $55 96%
Claimdoc $52 98%
First_Health $54 101%
Health_Ohio_Network $54 101%
Healthscope_Benefits $56 105%
Multiplan $56 105%
Primary_Health_Services_Dca $56 105%
Private_Healthcare_Systems $56 105%
Three_Rivers_Provider_Network $56 105%
Unicare $56 105%
Beech_Street $57 107%
Flora $57 107%
Npn_Medical_Resources $57 107%
Ohio_Preferred_Provider_Network $57 107%
Ohio_Health_Group $58 109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 West Wooster Street, Bowling Green, OH 43402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals