CMS Price Transparency Data
Blood antibody screen
Facility: Mercy Hospital Watonga, Inc
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $88
- Cash Discount Price: $103
- vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mercy Hospital Watonga, Inc is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.65x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$103
Average discount available for prompt cash payment at this facility.
Insurance Median
$88
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: $103 (193%)
Insurance Median: $88 (165%)
Cash: $103 (193% of Medicare)
Ins. Median: $88 (165% 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 |
|---|---|---|
| Aetna | $9 - $120 | 17% |
| Humana | $9 - $60 | 17% |
| Medicaid / KanCare | $9 - $47 | 17% |
| Blue Cross Blue Shield | $46 - $63 | 86% |
| Ambetter / Centene | $47 | 88% |
| Home State Health Plan Contracted [320187] | $47 | 88% |
| Novasys Contracted [320285] | $47 | 88% |
| Cherokee Nation Health Serv Contracted [320066] | $60 | 113% |
| Cross Timbers Hospice [20098] | $60 | 113% |
| Dept Of Veteran Affairs Contracted [320106] | $60 | 113% |
| Elara Caring Aspire Hospice Contracted [320433] | $60 | 113% |
| Elara Caring Aspire Hospice [20433] | $60 | 113% |
| Halo Hcr Inc Hospice Contracted [320432] | $60 | 113% |
| Halo Hcr Inc Hospice [20432] | $60 | 113% |
| Independent Health [20197] | $60 | 113% |
| Indian Health Service Contracted [320198] | $60 | 113% |
| Kindful Hospice Contracted [320434] | $60 | 113% |
| Kindful Hospice [20434] | $60 | 113% |
| Medical Associates Health [20444] | $60 | 113% |
| Medicare (plans) | $60 - $88 | 113% |
| Mercy Hospice Okc [20252] | $60 | 113% |
| Provider Partners Health Plans Contracted [320450] | $60 | 113% |
| Qual Choice Contracted [320325] | $60 | 113% |
| Tribute Health Plan Mcr Contracted [320338] | $60 | 113% |
| Tricare | $60 | 113% |
| UnitedHealthcare | $60 - $125 | 113% |
| Cigna | $62 - $134 | 116% |
| Globalhealth Contracted [320145] | $62 | 116% |
| Webtpa Contracted [320417] | $66 | 124% |
| Medica Contracted [320239] | $88 | 165% |
| Aither Health Contracted [320449] | $95 - $134 | 178% |
| Mercy Benefit Admin Contracted [320251] | $95 - $134 | 178% |
| Quik Trip Contracted [320447] | $95 | 178% |
| Show-Me Health Administrators Contracted [320483] | $95 | 178% |
| Benefit Management Contracted [320052] | $103 - $118 | 193% |
| Health Choice Contracted [320166] | $107 | 201% |
| Healthsmart Accel Contracted [320183] | $111 | 208% |
| Osma Health Contracted [320292] | $111 | 208% |
| Healthcare Highways Plus Contracted [320175] | $118 | 222% |
| Preferred Community Choice Contracted [320311] | $118 | 222% |
| Private Health Care Systems Contracted [320320] | $118 - $126 | 222% |
| United Medical Resources Contracted [320454] | $125 | 235% |
| Multiplan Contracted [320270] | $126 - $142 | 237% |
| First Health Contracted [320128] | $128 | 240% |
| Auxiant Contracted [320462] | $134 | 252% |
| Ebms Contracted [320493] | $134 | 252% |
| Healthlink Contracted [320179] | $134 | 252% |
| Healthsmart Preferred Care Contracted [320184] | $134 | 252% |
| Imagine 360 Contracted [320494] | $134 | 252% |
| Reflect Health Contracted [320492] | $134 | 252% |
| Yuzu Health Contracted [320521] | $134 | 252% |