CMS Price Transparency Data
Blood antibody screen
Facility: Mercy Hospital Tishomingo Inc
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $100
- Cash Discount Price: $109
- vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mercy Hospital Tishomingo Inc is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.88x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$109
Average discount available for prompt cash payment at this facility.
Insurance Median
$100
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: $109 (205%)
Insurance Median: $100 (188%)
Cash: $109 (205% of Medicare)
Ins. Median: $100 (188% 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 - $111 | 17% |
| Humana | $9 - $134 | 17% |
| Medicaid / KanCare | $9 - $50 | 17% |
| Blue Cross Blue Shield | $45 - $80 | 85% |
| Ambetter / Centene | $50 | 94% |
| Home State Health Plan Contracted [320187] | $50 | 94% |
| Novasys Contracted [320285] | $50 | 94% |
| Webtpa Contracted [320417] | $70 | 131% |
| Medicare (plans) | $77 - $107 | 145% |
| Cherokee Nation Health Serv Contracted [320066] | $80 | 150% |
| Cross Timbers Hospice [20098] | $80 | 150% |
| Dept Of Veteran Affairs Contracted [320106] | $80 | 150% |
| Elara Caring Aspire Hospice Contracted [320433] | $80 | 150% |
| Elara Caring Aspire Hospice [20433] | $80 | 150% |
| Halo Hcr Inc Hospice Contracted [320432] | $80 | 150% |
| Halo Hcr Inc Hospice [20432] | $80 | 150% |
| Independent Health [20197] | $80 | 150% |
| Indian Health Service Contracted [320198] | $80 | 150% |
| Kindful Hospice Contracted [320434] | $80 | 150% |
| Kindful Hospice [20434] | $80 | 150% |
| Medical Associates Health [20444] | $80 | 150% |
| Mercy Hospice Okc [20252] | $80 | 150% |
| Provider Partners Health Plans Contracted [320450] | $80 | 150% |
| Qual Choice Contracted [320325] | $80 | 150% |
| Tribute Health Plan Mcr Contracted [320338] | $80 | 150% |
| Tricare | $80 | 150% |
| UnitedHealthcare | $80 - $132 | 150% |
| Globalhealth Contracted [320145] | $82 | 154% |
| Cigna | $83 - $125 | 156% |
| Aither Health Contracted [320449] | $100 - $142 | 188% |
| Mercy Benefit Admin Contracted [320251] | $100 - $142 | 188% |
| Quik Trip Contracted [320447] | $100 | 188% |
| Show-Me Health Administrators Contracted [320483] | $100 | 188% |
| Health Choice Contracted [320166] | $107 | 201% |
| Medica Contracted [320239] | $107 | 201% |
| First Health Contracted [320128] | $111 | 208% |
| Osma Health Contracted [320292] | $117 | 220% |
| Benefit Management Contracted [320052] | $125 - $150 | 235% |
| Healthcare Highways Plus Contracted [320175] | $125 | 235% |
| Private Health Care Systems Contracted [320320] | $125 - $134 | 235% |
| United Medical Resources Contracted [320454] | $132 | 248% |
| Multiplan Contracted [320270] | $134 - $150 | 252% |
| Auxiant Contracted [320462] | $142 | 267% |
| Ebms Contracted [320493] | $142 | 267% |
| Healthlink Contracted [320179] | $142 | 267% |
| Imagine 360 Contracted [320494] | $142 | 267% |
| Preferred Community Choice Contracted [320311] | $142 | 267% |
| Reflect Health Contracted [320492] | $142 | 267% |
| Yuzu Health Contracted [320521] | $142 | 267% |