CMS Price Transparency Data

Blood antibody screen

Facility: Curry General Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $80
Cash Discount Price: $84
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Curry General Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.50x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$84

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $84 (158%)

Insurance Median: $80 (150%)

Cash: $84 (158% of Medicare)

Ins. Median: $80 (150% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$3	6%
Medicaid / KanCare	$8 - $53	15%
Blue Cross Blue Shield	$11 - $84	21%
Tricare	$26	49%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$36	68%
Medicare (plans)	$36 - $55	68%
Department Of Corrections [1051]	$55	103%
Coordinated Care Commercial [1649]	$71	133%
Pacificsource [1148]	$71	133%
Moda [512]	$72 - $76	135%
Multiplan [1131]	$76	143%
Asuris [1258]	$80	150%
First Choice Health Admin [1294]	$80	150%
First Choice [528]	$80	150%
Operating Engineers [1144]	$80	150%
Regence [1351]	$80 - $84	150%
Cigna	$82 - $84	154%
Coventry First Health Managed Care [1774]	$82	154%
Coventry Health [1046]	$82	154%
Providence Health Plan Plm Alt [1692]	$82	154%
Providence Health Plan [567]	$82	154%
Aetna	$84	158%
Employee Bene Admin Mgmt [525]	$84	158%
Geha [531]	$84	158%
Mailhandlers Benefit Pln [547]	$84	158%
Meritain [550]	$84	158%
Nw Sheet Metal Workers [597]	$84	158%
Trustmark [524]	$84	158%
UnitedHealthcare	$84	158%
Zenith Administrators [586]	$84	158%
Allcare Alt [2598]	$300	563%
Allcare [1695]	$300	563%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $84.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.