CMS Price Transparency Data

Blood antibody screen

Facility: South Pointe Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 0.9× the $53 Medicare rate · typically $11–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $53 Fair price $47 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 $47 (about 0.9× the $53 Medicare rate). South Pointe Hospital charges insurers about $50, or about $42 in cash — about the fair price. Located in Warrensville Heights, OH.

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 $28 - $180 53%
Aetnamajor $28 - $64 53%
Cignamajor $51 - $64 96%
Humanamajor $50 - $54 94%
AmeriHealth $29 54%
CareSource $28 53%
Devoted Health $50 94%
Molina $28 53%
Oscar Health $19 - $25 36%
Paramount $27 51%
UniCare $52 98%
UPMC Health Plan $38 - $50 71%
+ 16 smaller / regional plans $22 - $168
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 20000 Harvard Road, Warrensville Heights, OH 44122
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals