CMS Price Transparency Data
Blood antibody screen
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $276
- Cash Discount Price: $306
- vs. Medicare Baseline: 5.18x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mercy Hospital Ardmore, Inc is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $306. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 5.18x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$306
Average discount available for prompt cash payment at this facility.
Insurance Median
$276
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: $306 (575%)
Insurance Median: $276 (518%)
Cash: $306 (575% of Medicare)
Ins. Median: $276 (518% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 518% of the Medicare baseline (a markup of 418%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $9 - $307 | 17% |
| Humana | $9 - $333 | 17% |
| Medicaid / KanCare | $9 - $73 | 17% |
| United Medical Resources Contracted [320454] | $12 - $314 | 23% |
| UnitedHealthcare | $12 - $54 | 23% |
| Medica Contracted [320239] | $13 - $483 | 24% |
| Cigna | $26 - $55 | 49% |
| Blue Cross Blue Shield | $53 | 100% |
| Cherokee Nation Health Serv Contracted [320066] | $53 | 100% |
| Cross Timbers Hospice [20098] | $53 | 100% |
| Dept Of Veteran Affairs Contracted [320106] | $53 | 100% |
| Elara Caring Aspire Hospice Contracted [320433] | $53 | 100% |
| Elara Caring Aspire Hospice [20433] | $53 | 100% |
| Halo Hcr Inc Hospice Contracted [320432] | $53 | 100% |
| Halo Hcr Inc Hospice [20432] | $53 | 100% |
| Independent Health [20197] | $53 | 100% |
| Indian Health Service Contracted [320198] | $53 | 100% |
| Kindful Hospice Contracted [320434] | $53 | 100% |
| Kindful Hospice [20434] | $53 | 100% |
| Medical Associates Health [20444] | $53 | 100% |
| Medicare (plans) | $53 - $483 | 100% |
| Mercy Hospice Okc [20252] | $53 | 100% |
| Provider Partners Health Plans Contracted [320450] | $53 | 100% |
| Qual Choice Contracted [320325] | $53 | 100% |
| Tribute Health Plan Mcr Contracted [320338] | $53 | 100% |
| Tricare | $53 | 100% |
| Globalhealth Contracted [320145] | $54 | 101% |
| Ambetter / Centene | $73 | 137% |
| Home State Health Plan Contracted [320187] | $73 | 137% |
| Novasys Contracted [320285] | $73 | 137% |
| Community Care Contracted [320080] | $82 - $338 | 154% |
| Workers Comp [20426] | $90 | 169% |
| Health Choice Contracted [320166] | $107 | 201% |
| Healthsmart Preferred Care Contracted [320184] | $120 - $314 | 225% |
| Kempton Contracted [320214] | $120 | 225% |
| Healthcare Highways Plus Contracted [320175] | $179 - $290 | 336% |
| Webtpa Contracted [320417] | $193 - $203 | 363% |
| Osma Health Contracted [320292] | $207 - $217 | 389% |
| Aither Health Contracted [320449] | $276 - $290 | 518% |
| Auxiant Contracted [320462] | $276 - $314 | 518% |
| Benefit Management Contracted [320052] | $276 - $314 | 518% |
| Ebms Contracted [320493] | $276 - $290 | 518% |
| Healthlink Contracted [320179] | $276 - $314 | 518% |
| Imagine 360 Contracted [320494] | $276 - $290 | 518% |
| Mercy Benefit Admin Contracted [320251] | $276 - $314 | 518% |
| Quik Trip Contracted [320447] | $276 - $290 | 518% |
| Reflect Health Contracted [320492] | $276 - $290 | 518% |
| Show-Me Health Administrators Contracted [320483] | $276 - $290 | 518% |
| Yuzu Health Contracted [320521] | $276 - $290 | 518% |
| Federal Medical Center Contracted [320127] | $299 - $314 | 562% |
| Healthscope Contracted [320182] | $299 - $314 | 562% |
| Healthsmart Accel Contracted [320183] | $299 - $314 | 562% |
| Point C Contracted [320238] | $299 - $314 | 562% |
| Preferred Health Plan Contracted [320522] | $299 - $314 | 562% |
| Tri State Healthcare Coalition Contracted [320379] | $299 - $314 | 562% |
| First Health Contracted [320128] | $306 - $321 | 575% |
| Globalhealth Contracted [320144] | $313 - $328 | 588% |
| Private Health Care Systems Contracted [320320] | $345 - $386 | 648% |
| Preferred Community Choice Contracted [320311] | $350 - $367 | 657% |
| Multiplan Contracted [320270] | $368 - $435 | 691% |