CMS Price Transparency Data

Blood antibody screen

Facility: Maury Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $48
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Maury Regional Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.90x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $28 (53%)
Insurance Median: $48 (90%)
Cash: $28 (53% of Medicare)
Ins. Median: $48 (90% 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
UnitedHealthcare $5 - $51 9%
Blue Cross Blue Shield $8 - $52 15%
Wayne County Jail $30 56%
Cigna $31 - $86 58%
Humana $43 - $51 81%
Wellpoint $43 - $63 81%
Wellpoint Tci $43 81%
Lawrence County Jail $45 85%
Lewis County Jail $45 85%
Marshall County Jail $45 85%
Farm Bureau Health Plans $47 - $51 88%
Medicare (plans) $47 - $51 88%
Beech Street $48 90%
Multiplan $48 90%
Phcs $48 90%
Aetna $49 - $54 92%
American Health Plans $49 - $51 92%
Nhc $49 - $52 92%
Wellcare Harmony Health $49 - $52 92%
Firsthealth $58 109%
Medrisk $71 133%
State Of Tennessee $71 133%
Ambetter / Centene $88 - $119 165%
Oscar $121 - $129 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals