CMS Price Transparency Data

Blood antibody screen

Facility: Fostoria Community Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $75
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Fostoria Community Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.41x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $94 (177%)
Insurance Median: $75 (141%)
Cash: $94 (177% of Medicare)
Ins. Median: $75 (141% 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
Paramount Health Care $9 - $77 17%
Blue Cross Blue Shield $10 - $233 19%
Buckeye Community Health Plan $10 - $41 19%
Health Alliance Plan $10 - $109 19%
Health Value Management $10 - $31 19%
Aetna $11 - $97 21%
Buckeye Community Health Plan Inc $11 - $53 21%
Dayton Area Health Plan Dba Caresource $12 - $60 23%
UnitedHealthcare $12 - $87 23%
Meridian Health Plan Of Mi $29 54%
Veterans Affairs $32 60%
Amerihealth $43 81%
Medical Mutual Of Ohio $82 - $87 154%
Frontpath Health Coalition $84 158%
Ohio Health Choice $94 177%
Ohio Ppo Connect $94 - $109 177%
Health Ohio Network $115 216%
Connecticut General Life Insurance Company $116 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Van Buren Street, Fostoria, OH 44830
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals