CMS Price Transparency Data

Blood antibody screen

Facility: Uh Cleveland Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $76
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Uh Cleveland Medical Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.43x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $101 (190%)
Insurance Median: $76 (143%)
Cash: $101 (190% of Medicare)
Ins. Median: $76 (143% 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
University Health Employee Plan (Contigo) $11 21%
Blue Cross Blue Shield $12 - $80 23%
Medical Mutual Of Ohio $38 - $85 71%
UnitedHealthcare $49 - $50 92%
Aetna $50 - $106 94%
Cigna $50 - $82 94%
Devoted Health $50 94%
Humana $50 94%
Molina $50 94%
Primetime Health Plan $50 94%
Summacare $50 - $92 94%
The Health Plan $50 - $88 94%
Wellcare By Allwell $50 94%
Paramount $51 96%
Perennial Advantage Of Ohio $52 98%
Valor Health Plans $52 98%
Amish Aid Community Plan $68 128%
Amish Church Fund And Workers Aid Plan $68 128%
Buckeye Plain Ministries $68 128%
Christian Healthcare Ministries $68 128%
Immergrun $68 128%
Sunrise Plain Communities $68 128%
Jp Farley $73 137%
Clarity $76 143%
Enterprise Group Planning $76 143%
Health Ohio Network $78 147%
Healthsmart $88 165%
Ohio Health Choice $88 - $122 165%
Ambetter / Centene $89 167%
Caresource $89 167%
Medical Mutual Traditional/Health Ohio $94 177%
Aultcare $99 186%
Beech Street $108 - $122 203%
Ohio Preferred Network $108 - $122 203%
First Health $112 210%
Century Health Network $115 216%
Private Healthcare System $116 218%
Configurenet $122 229%
Fortified Provider Network $122 229%
Multiplan $122 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals