CMS Price Transparency Data

Blood antibody screen

Facility: Okeene Municipal Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $26
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Okeene Municipal Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.49x the Medicare baseline. Located in 207 East F Street, Okeene, OK.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $30 (56%)
Insurance Median: $26 (49%)
Cash: $30 (56% of Medicare)
Ins. Median: $26 (49% 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
Pref Community Choice Ppo-All Plans $3 - $7 6%
Blue Cross Blue Shield $10 - $32 19%
Cigna $10 - $30 19%
Coventry Mcr Adv $10 - $28 19%
Global Health Mcr Adv $10 - $28 19%
Humana $10 - $49 19%
Medicare (plans) $10 - $28 19%
UnitedHealthcare $10 - $35 19%
Ihs-All Plans $11 - $32 21%
Aetna $12 - $49 23%
Healthchoice Ip Only-All Plans $12 - $34 23%
Ok Complete Health Comm-All Other Plans $12 - $34 23%
Global Health-All Other Plans $13 - $36 24%
Healthcare Highways-All Plans $13 - $37 24%
Medica Commercial-All Other Plans $13 - $38 24%
Phcs Savility/Multiplan - All Plans $13 - $37 24%
Community Care Hmo-All Plans $15 - $44 28%
Ok Complete Health Mcaid $17 - $49 32%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 207 East F Street, Okeene, OK 73763
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals