CMS Price Transparency Data

Blood antibody screen

Facility: Mid-Columbia Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $54
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mid-Columbia Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $50 (94%)
Insurance Median: $54 (101%)
Cash: $50 (94% of Medicare)
Ins. Median: $54 (101% 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
Blue Cross Blue Shield $10 - $331 19%
Community Hp Mcr Adv - All Plans $10 19%
Healthnet Mcr Adv $10 19%
Humana $10 19%
Moda Mcr Adv $10 19%
Molina Mcr Adv $10 19%
Pacific Source - All Plans $10 19%
Tricare $10 19%
Va Ccn Triwest - All Plans $10 19%
Molina - All Other Plans $11 21%
Employee Health Plan - All Plans $18 34%
Norocor - All Plans $52 98%
Amerigroup Mcaid - All Plans $54 101%
Coordinated Care Mcaid - All Plans $54 101%
Molina Mcaid $54 101%
UnitedHealthcare $54 - $99 101%
Moda Health Plan - All Other Plans $69 130%
Healthscape - All Plans $83 156%
First Health - All Plans $92 173%
Coventry - All Plans $93 175%
Aetna $96 180%
Cigna $98 184%
First Choice - All Plans $99 186%
Multiplan/Phcs - All Plans $99 186%
Providence Ppo - All Plans $99 186%
Trpn - Three Rivers - All Plans $99 186%
Ahp - Americas Hlth Plan - All Plans $101 190%
Devoted Mcr Adv - All Plans $112 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals