CMS Price Transparency Data

Blood antibody screen

Facility: Ohio State University State Health System

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $54
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ohio State University State Health System is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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%)
Insurance Median: $54 (101%)
Ins. Median: $54 (101% 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
Aetna $10 - $112 19%
Blue Cross Blue Shield $10 - $135 19%
Buckeye Community $10 - $15 19%
Caresource $10 - $15 19%
Healthspan $10 - $67 19%
Humana $10 - $49 19%
Medicare (plans) $10 - $11 19%
Medigold $10 19%
Mmo $10 - $11 19%
Molina $10 - $16 19%
United $10 19%
Upper Ohio Valley $10 - $92 19%
Osu Health Plan $43 - $70 81%
Ohio Ppo $52 - $62 98%
Cigna $57 107%
Odrc $57 107%
Ohiohealth $90 - $104 169%
Lifetrac $95 178%
Frontpath $111 208%
Multiplan $111 208%
Healthsmart $125 235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals