CMS Price Transparency Data
Blood antibody screen
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 86850 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$43
about 0.8× the $53 Medicare rate · typically $10–$118
modeled estimate · not a bill or quote
Medicare pays $53 Fair price $43 Cash price $167 Hospital's list price $167
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 | $27 - $215 | 51% |
| Blue Cross Blue Shieldmajor | $27 - $215 | 51% |
| Aetnamajor | $27 - $215 | 51% |
| Cignamajor | $27 - $215 | 51% |
| Humanamajor | $27 - $215 | 51% |
| Ambetter (Centene) | $27 - $215 | 51% |
| CareSource | $27 - $215 | 51% |
| Devoted Health | $27 - $215 | 51% |
| Medical Mutual | $15 - $215 | 28% |
| Molina | $27 - $215 | 51% |
| UPMC Health Plan | $27 - $215 | 51% |
| + 1 smaller / regional plan | $18 - $146 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Blood antibody screen at other OH hospitals
- Southern Ohio Medical Center · Portsmouth $10
- Wilson Memorial Hospital · Sidney $10
- Ohio State University State Health System · Columbus $10
- Pomerene Hospital · Millersburg $10
- Summa Western Reserve Hospital · Cuyahoga Falls $10
- Institute for Orthopaedic Surgery · Lima $10
- Miami Valley Hospital · Dayton $12
- Atrium Medical Center · Franklin $12
Insurance negotiated median for the same procedure, sorted lowest first.