CMS Price Transparency Data

Blood antibody screen

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $50
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Prisma Health Greer Memorial Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.94x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $96 (180%)
Insurance Median: $50 (94%)
Cash: $96 (180% of Medicare)
Ins. Median: $50 (94% 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
Choicecare Network $10 - $126 19%
Select Health $10 - $50 19%
Molina $11 - $51 21%
Blue Choice Healthplan Of Sc $12 - $34 23%
Humana $13 - $45 24%
Medicaid / KanCare $13 - $37 24%
Wellpath Select Inc $13 - $65 24%
Bluechoice Healthplan Of Sc $14 - $65 26%
Sc Workers Compensation $14 - $66 26%
Tricare $14 - $48 26%
Blue Cross Blue Shield $23 - $62 43%
Prisma Health Seniorcare Pace-Upstate $36 68%
Medicare (plans) $44 - $50 83%
Veterans Administration $48 90%
Cigna $49 - $118 92%
Liberty Advantage $49 92%
UnitedHealthcare $49 - $240 92%
Absolute Total Care Prime $50 94%
Aetna $50 - $130 94%
Windsor Health Plan $50 94%
Promise Health Plan $74 139%
Value Options $74 139%
Celtic Insurance Company $83 156%
Preferred Care, Inc $104 195%
Chp Direct Supermed Network $107 201%
Medcost $110 207%
Atlantic Packaging $111 208%
Aps Healthcare Bethesda Inc $118 222%
Medcost Preferred $121 227%
Multiplan $132 248%
Companion Benefit Alternatives $148 278%
Miscellaneous $148 278%
Self Pay $148 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1413 John B White Sr Blvd Suite D, Spartanburg, SC 29306
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals