CMS Price Transparency Data

Blood antibody screen

Facility: McKenzie-Willamette Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $15
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at McKenzie-Willamette Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.28x the Medicare baseline. Located in 1460 G Street, Springfield, OR.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $93 (175%)
Insurance Median: $15 (28%)
Cash: $93 (175% of Medicare)
Ins. Median: $15 (28% 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
Healthnet Mcd $8 15%
Pacificsource Hlthier Or $8 15%
Pacificsource Mcaid $8 15%
Trillium Mcaid-All Plans $8 15%
Healthnet Mcr Adv $10 19%
Kaiser Mcr Adv $10 19%
UnitedHealthcare $12 23%
Pacificsource Individual $15 28%
Pacificsource Non-Individ $15 28%
Pacificsource Psn/Voyager - All Other Plans $15 28%
Providence Hp Pebb $20 38%
Kaiser Mcaid $35 66%
Healthnet Comm - All Other Plans $80 150%
Providence Hp - All Other Plans $101 190%
Cigna $108 203%
Aetna $124 233%
Blue Cross Blue Shield $149 280%
Kaiser Comm - All Other Plans $420 789%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1460 G Street, Springfield, OR 97477
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals