CMS Price Transparency Data

Blood antibody screen

Facility: Madison Health

Billing Code: 86850 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$43
about 0.8× the $53 Medicare rate · typically $10–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Above the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $53 Fair price $43 This hospital $53 Cash price $69 Hospital's list price $86

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 $53

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). Madison Health charges insurers about $53, or about $69 in cash — above the fair price. Located in London, 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.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $50 94%
Ambetter (Centene) $78 147%
CareSource $51 - $80 96%
Molina $52 - $78 98%
+ 1 smaller / regional plan $53

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: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals