CMS Price Transparency Data

Blood antibody screen

Facility: Ohiohealth Morrow County Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $65
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ohiohealth Morrow County Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.22x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $113 (212%)
Insurance Median: $65 (122%)
Cash: $113 (212% of Medicare)
Ins. Median: $65 (122% 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
Blue Cross Blue Shield $4 - $64 8%
Medicaid / KanCare $34 - $35 64%
UnitedHealthcare $34 - $142 64%
Amerihealth Caritas - All Plans $35 66%
Humana $35 - $161 66%
Molina Exchange - All Other Plans $56 105%
Medicare (plans) $64 - $66 120%
Aetna $65 - $149 122%
Caresource Marketplace - All Other Plans $80 150%
Medical Mutual Of Ohio Marketplace $130 244%
Ohiohealthy Network - All Other Plans $130 244%
Ohiohealthy Preferred $130 244%
Medical Mutual Of Ohio Comm - All Other Plans $141 265%
Medical Mutual Of Ohio - Admin Serv $148 278%
Phcs - All Plans $160 301%
Cigna $163 306%
Multiplan - All Plans $165 310%
Healthstar Comm - All Plans $167 314%
Beech Street - All Plans $168 316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals