CMS Price Transparency Data

Blood antibody screen

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $89
Cash Discount Price: $126
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Uhhs Memorial Hospital of Geneva is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.67x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $126 (237%)

Insurance Median: $89 (167%)

Cash: $126 (237% of Medicare)

Ins. Median: $89 (167% 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
University Health Employee Plan (Contigo)	$11	21%
Blue Cross Blue Shield	$12 - $157	23%
Aetna	$23 - $60	43%
Cigna	$34 - $124	64%
Devoted Health	$34	64%
Humana	$34	64%
Medical Mutual Of Ohio	$34 - $168	64%
Molina	$34	64%
Primetime Health Plan	$34	64%
Summacare	$34 - $86	64%
The Health Plan	$34 - $111	64%
UnitedHealthcare	$34 - $67	64%
Wellcare By Allwell	$34	64%
Paramount	$35	66%
Perennial Advantage Of Ohio	$35	66%
Valor Health Plans	$35	66%
Ambetter / Centene	$60	113%
Caresource	$60	113%
Amish Aid Community Plan	$77	145%
Amish Church Fund And Workers Aid Plan	$77	145%
Buckeye Plain Ministries	$77	145%
Jp Farley	$79	148%
Clarity	$81	152%
Christian Healthcare Ministries	$84	158%
Immergrun	$84	158%
Sunrise Plan Communities	$84	158%
Aultcare	$92	173%
Healthsmart	$109	205%
Ohio Health Choice	$109 - $151	205%
Beech Street	$134 - $151	252%
Ohio Preferred Network	$134 - $151	252%
First Health	$139	261%
Century Health Network	$143	269%
Private Healthcare System	$144	270%
Configurenet	$151	284%
Fortified Provider Network	$151	284%
Multiplan	$151	284%

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 $126.
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 Uhhs Memorial Hospital of Geneva 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.