CMS Price Transparency Data

Blood antibody screen

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $20
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Geisinger-Bloomsburg Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.38x the Medicare baseline. Located in 549 East Fair Street, Bloomsburg, PA.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $149 (280%)
Insurance Median: $20 (38%)
Cash: $149 (280% of Medicare)
Ins. Median: $20 (38% 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
Medicaid / KanCare $8 15%
Geisinger Family Plan $9 17%
Advantra $10 19%
American Progressive $10 19%
Amerihealth $10 19%
Blue Cross Blue Shield $10 - $122 19%
Care Improvement Plus $10 19%
Cigna $10 19%
Geisinger Health Plan $10 - $25 19%
Health Partners $10 19%
Humana $10 - $204 19%
Medicare (plans) $10 19%
UnitedHealthcare $10 19%
Upmc For You $10 19%
Upmc Chip $11 21%
Medical Development International $15 28%
Naphcare $15 28%
Ambetter / Centene $23 43%
Aetna $91 - $154 171%
Intergroup Services $96 - $168 180%
Christian Healthcare Ministries $120 225%
Multiplan $204 383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 549 East Fair Street, Bloomsburg, PA 17815
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals