CMS Price Transparency Data

Blood antibody screen

Facility: Alliancehealth Madill

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $91
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Alliancehealth Madill is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.71x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $151 (284%)
Insurance Median: $91 (171%)
Cash: $151 (284% of Medicare)
Ins. Median: $91 (171% 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 - $344 17%
Humana $9 - $88 17%
Medicaid / KanCare $9 17%
Node Us Dept Of Labor $12 23%
UnitedHealthcare $18 - $90 34%
Blue Cross Blue Shield $26 - $91 49%
Preferred Community Choice Ppo $64 120%
Medicare (plans) $88 165%
Node Global Health Mcr Adv $88 165%
Node Indian Health Service Managed Care $90 169%
Node Va $90 - $208 169%
Ok Work Comp $90 169%
Node Champva $93 175%
Tricare $93 175%
Healthchoice $107 201%
Self Pay $150 282%
Coventry $215 404%
Globalhealth $267 502%
Healthcare Highways $269 505%
Phcs $301 565%
Multiplan $322 - $335 605%
First Health $353 663%
Cigna $366 687%
Evolutions Healthcare Systems $366 687%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals