CMS Price Transparency Data

Blood antibody screen

Facility: Adena Pike Medical Center

Billing Code: 86850 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$39
about 0.7× the $53 Medicare rate · typically $10–$108
modeled estimate · not a bill or quote
Medicare pays $53 Fair price $39 Cash price $25 Hospital's list price $51

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $80 150%
Blue Cross Blue Shieldmajor $12 - $44 23%
Aetnamajor $12 - $70 23%
Cignamajor $37 69%
Humanamajor $12 - $48 23%
Medical Mutual $12 - $38 23%
Molina $12 - $20 23%
+ 9 smaller / regional plans $12 - $48
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Dawn Lane, Waverly, OH 45690
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals