CMS Price Transparency Data
Blood antibody screen
Facility: Baptist Memorial Hospital Tipton
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $88
- Cash Discount Price: $67
- vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Baptist Memorial Hospital Tipton is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.65x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$67
Average discount available for prompt cash payment at this facility.
Insurance Median
$88
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: $67 (126%)
Insurance Median: $88 (165%)
Cash: $67 (126% of Medicare)
Ins. Median: $88 (165% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $16 - $106 | 30% |
| Blue Cross Blue Shield | $24 - $212 | 45% |
| Humana | $24 - $51 | 45% |
| Ppo Holdings | $24 - $135 | 45% |
| Magnolia Regional Health Center | $25 - $142 | 47% |
| Cigna | $26 | 49% |
| Multiplan | $27 - $266 | 51% |
| Littler | $32 - $177 | 60% |
| Molina | $32 - $177 | 60% |
| Access Health Services | $38 - $212 | 71% |
| Butler Snow | $38 - $212 | 71% |
| UnitedHealthcare | $38 - $212 | 71% |
| Wellpoint | $43 - $51 | 81% |
| First Choice Health Plan Of Ms | $44 - $248 | 83% |
| Mpcn | $47 - $266 | 88% |
| Novasys | $47 - $266 | 88% |
| Triwest | $47 | 88% |
| Oscar | $49 | 92% |
| Vaccn | $49 | 92% |
| Veterans Evaluation Services | $49 | 92% |
| Devoted Health | $50 | 94% |
| American Health Plan | $51 | 96% |
| Shared Health | $51 | 96% |
| Tribute Health Plan | $51 | 96% |
| Ppo Plus | $54 - $301 | 101% |
| Qca | $57 - $319 | 107% |
| Arlington Community Schools | $81 | 152% |
| Bartlett City Schools | $81 | 152% |
| City Of Bartlett | $81 | 152% |
| City Of Lakeland | $81 | 152% |
| Collierville Schools | $81 | 152% |
| Eas Mssc Schools | $81 | 152% |
| Lakeland School System | $81 | 152% |
| Town Of Collierville | $81 | 152% |
| First State Bank Trust | $83 | 156% |
| Magnolia Tn | $83 | 156% |
| Armstrong Relocation | $88 | 165% |
| Ashley Furniture Stores | $88 | 165% |
| Brimhall Foods | $88 | 165% |
| Building Plastic | $88 | 165% |
| Burch Food Services | $88 | 165% |
| Cannon Motor Company | $88 | 165% |
| Carlisle | $88 | 165% |
| Crittenden County | $88 | 165% |
| Davidson Hospitality | $88 | 165% |
| Desoto Co Board Of Supervisors | $88 | 165% |
| Dunn Investment Company | $88 | 165% |
| First Community Bank | $88 | 165% |
| French Camp Academy | $88 | 165% |
| Gossett Motor Cars | $88 | 165% |
| Hattiesburg Clinic | $88 | 165% |
| Heartland Catfish Company | $88 | 165% |
| Heavy Machines | $88 | 165% |
| Hollowell Industries | $88 | 165% |
| Hospitality Management Advisors | $88 | 165% |
| Jas D Collier | $88 | 165% |
| Malco Theaters | $88 | 165% |
| Mechanical Systems | $88 | 165% |
| Mid-South Transport | $88 | 165% |
| Patterson Warehouses | $88 | 165% |
| Radians | $88 | 165% |
| Rei Nation | $88 | 165% |
| Retzer Resources | $88 | 165% |
| Ritchey Automotive | $88 | 165% |
| Security One | $88 | 165% |
| Silver Tree | $88 | 165% |
| State Systems | $88 | 165% |
| United Tn Holdings | $88 | 165% |
| Vaughn Electric | $88 | 165% |
| W G Yates | $88 | 165% |
| W W Wood Products | $88 | 165% |
| Watkins Uiberall | $88 | 165% |
| Y K Auto Group | $88 | 165% |
| Employers Health Network | $98 | 184% |
| Harding Academy | $98 | 184% |