CMS Price Transparency Data

Blood antibody screen

Facility: Lutheran Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$43
about 0.8× the $53 Medicare rate · typically $10–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Above the fair price
about $7 over the fair price · 0.9× Medicare
Medicare pays $53 Fair price $43 This hospital $50 Cash price $42 Hospital's list price $64

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $10 Priciest $50

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

A fair price for a Blood antibody screen is about $43 (about 0.8× the $53 Medicare rate). Lutheran Hospital charges insurers about $50, or about $42 in cash — above the fair price. Located in Cleveland, OH.

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 $43. 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 $15 - $50 28%
Blue Cross Blue Shieldmajor $24 - $180 45%
Aetnamajor $28 - $64 53%
Cignamajor $51 - $64 96%
Humanamajor $50 - $54 94%
AmeriHealth $25 47%
CareSource $24 45%
Devoted Health $50 94%
Molina $24 45%
Oscar Health $19 - $25 36%
Paramount $23 43%
UniCare $52 98%
UPMC Health Plan $38 - $50 71%
+ 19 smaller / regional plans $24 - $168
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals