CMS Price Transparency Data

Blood antibody screen

Facility: Leconte Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $54
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Leconte Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 742 Middlecreek Road, Sevierville, TN.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $22 (41%)
Insurance Median: $54 (101%)
Cash: $22 (41% of Medicare)
Ins. Median: $54 (101% 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 - $55 8%
UnitedHealthcare $10 - $55 19%
Blue Cross Blue Shield $12 - $55 23%
Aetna $14 - $55 26%
Cigna $19 - $55 36%
Ehn $31 - $34 58%
Correctional Medical Services $41 - $45 77%
Community Services Network $44 - $49 83%
Usa Managed Care Organization $48 - $52 90%
Farm Bureau $51 96%
Novanet $51 - $56 96%
Tricare $52 98%
Direct Care America $54 - $60 101%
Humana $54 101%
Medsave Usa $54 - $60 101%
National Provider Network $54 - $60 101%
Devoted Health $55 103%
Wellcare $55 103%
Beech Street $58 - $64 109%
Ccn Managed Care $58 - $64 109%
Initial Group $60 - $66 113%
Galaxy Health Network $61 - $68 115%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 742 Middlecreek Road, Sevierville, TN 37862
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals