CMS Price Transparency Data

Blood antibody screen

Facility: East Liverpool City Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $49
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at East Liverpool City Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$49

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: $49 (92%)
Insurance Median: $49 (92%)
Cash: $49 (92% 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
Medicaid / KanCare $9 - $37 17%
Buckeye Community Health Plan $37 - $78 69%
Molina $37 - $71 69%
Standard Eapg Logic $37 69%
Care Source $38 - $71 71%
Amerihealth Caritas $39 73%
Blue Cross Blue Shield $39 - $49 73%
Paramount $39 73%
UnitedHealthcare $39 - $49 73%
Health America $49 92%
Medical Mutual Of Oh $49 92%
Medicare (plans) $49 92%
Tricare $49 92%
Communicare $52 98%
Devoted Health $52 98%
Valor Health Plan $52 98%
Perennial $54 101%
Naphcare $59 111%
Employer Direct Healthcare $69 130%
Three Rivers $71 133%
Multiplan (Fka Private Healthcare Systems) $73 137%
Provider Select $73 137%
Worker Compensation $73 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals