CMS Price Transparency Data

Blood antibody screen

Facility: Christ Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $49
Cash Discount Price: $137
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Christ Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$137

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: $137 (257%)

Insurance Median: $49 (92%)

Cash: $137 (257% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$4 - $228	8%
Aetna	$10 - $228	19%
Caresource [2031]	$10 - $228	19%
Geha [2168]	$10	19%
Golden Rule [2161]	$10	19%
Humana	$10 - $228	19%
Kentucky Passport/Molina [2097]	$10	19%
Medicaid / KanCare	$10 - $228	19%
United Medical Resources [2104]	$10	19%
UnitedHealthcare	$10 - $228	19%
Wellcare Of Kentucky [2191]	$10	19%
Allied Benefits [2163]	$49	92%
Ambetter / Centene	$49	92%
Buckeye Mycare Dual [2171]	$49	92%
Cigna	$49 - $228	92%
Custom Design Benefits - True Cost [3004]	$49	92%
First Health [2041]	$49	92%
Medben [2222]	$49	92%
Medicare (plans)	$49	92%
Medigold Ppo [2204]	$49	92%
Meridian [2185]	$49	92%
Meritain Health [2224]	$49	92%
Other Exchange Plan [9992]	$49 - $228	92%
Perennial [4200]	$49	92%
Poppins Health [2299]	$49	92%
Ohio Health Choice [2062]	$109	205%
Nalc [2178]	$121	227%
Priority Health [2225]	$121	227%
Life Synch [2080]	$137	257%
Medical Mutual [2054]	$145	272%
Western And Southern [2076]	$145	272%
Multiplan/Phcs [2059]	$166	312%
Amerihealth Caritas [2230]	$228	428%
Bccp [3079]	$228	428%
Buckeye Community Health [2028]	$228	428%
Healthcare Highways [2298]	$228	428%
Sagamore Health Network [2066]	$228	428%
Suburban Health [2408]	$228	428%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $137.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christ Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.