CMS Price Transparency Data

Blood antibody screen

Facility: Colleton Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $13
  • Cash Discount Price: $419
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Colleton Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $419. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.24x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$419

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $419 (787%)
Insurance Median: $13 (24%)
Cash: $419 (787% of Medicare)
Ins. Median: $13 (24% 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
Absolute Total Care $10 - $78 19%
Aetna $10 - $252 19%
Arcadian $10 19%
Blue Cross Blue Shield $10 - $413 19%
Boldage Pace $10 19%
Clover $10 19%
Devoted Health $10 19%
Eon Health $10 19%
Humana $10 - $392 19%
Molina $10 - $29 19%
Odyssey Hospice $10 19%
United $10 - $231 19%
United Behavioral Health $10 19%
Wellcare $10 19%
Align Networks $11 21%
Cigna $11 - $281 21%
Universal Healthcare Group $12 23%
Corvel Corporation $13 24%
Employer'S Health Network $13 24%
Prime Health $13 - $370 24%
Heritage Summit $14 26%
Seven Corners $17 32%
Select Health $19 36%
Medical Development $21 39%
Naphcare $21 39%
Sc State Employees $21 - $23 39%
Blue Choice $35 66%
Blue Choice Health Plan $43 - $45 81%
Nhc Advantage $83 156%
Pruitt Health $83 156%
Employers Health Network $196 368%
Value Option $218 409%
Vocational Rehab $235 441%
Medcost $245 - $318 460%
Mhnet $326 612%
Evernorth $348 654%
Multiplan $370 695%
North American Administrators $370 695%
First Health $392 736%
Novanet $392 736%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals