CMS Price Transparency Data

Blood antibody screen

Facility: University Hospitals Conneaut Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $94
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at University Hospitals Conneaut Medical Center is $94. 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 1.77x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $94 (177%)
Cash: $126 (237% of Medicare)
Ins. Median: $94 (177% 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 - $160 23%
Aetna $23 - $93 43%
Cigna $52 - $124 98%
Devoted $52 98%
Humana $52 98%
Medical Mutual Of Ohio $52 - $158 98%
Molina $52 98%
Primetime Health Plan $52 98%
Summacare $52 - $86 98%
The Health Plan $52 - $111 98%
UnitedHealthcare $52 - $58 98%
Wellcare By Allwell $52 98%
Paramount $54 101%
Perennial Advantage Of Ohio $55 103%
Valor Health Plans $55 103%
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%
Ambetter / Centene $94 177%
Caresource $94 177%
Healthsmart $109 205%
Ohio Health Choice $109 - $151 205%
Medical Mutual Traditional/Health Ohio $118 222%
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

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals