CMS Price Transparency Data

Blood antibody screen

Facility: Tristar Northcrest Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $10
  • Cash Discount Price: $589
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Tristar Northcrest Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $589. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$589

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $589 (1106%)
Insurance Median: $10 (19%)
Cash: $589 (1106% of Medicare)
Ins. Median: $10 (19% 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
Wellpoint $4 8%
Aetna $8 - $294 15%
Alive Hospice $10 19%
Ambetter / Centene $10 - $11 19%
American Health Advantage $10 19%
Amerigroup $10 19%
Blue Cross Blue Shield $10 - $15 19%
Bright Health $10 - $11 19%
Devoted Health Plan $10 19%
Evergreen Hmo $10 19%
Healthspring $10 19%
Humana $10 - $39 19%
Molina $10 19%
United $10 - $265 19%
Wellcare $10 - $13 19%
Zing $10 19%
Atrio Golden Times $11 21%
Novanet $14 26%
Prime Health $14 26%
Cigna $17 - $173 32%
Oscar $29 54%
Nhc Advantage, Inc. $112 210%
City Of Springfield $383 719%
Multiplan $459 - $483 862%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals