CMS Price Transparency Data

Blood antibody screen

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $51
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Tennova Healthcare - Newport Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.96x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $108 (203%)
Insurance Median: $51 (96%)
Cash: $108 (203% of Medicare)
Ins. Median: $51 (96% 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
Veterans Eval Services $10 19%
UnitedHealthcare $11 - $459 21%
Medicaid / KanCare $15 28%
Bluecare $21 - $22 39%
Blue Cross Blue Shield $31 - $86 58%
Amerigroup $32 - $52 60%
Tricare $45 85%
Node Champva $47 88%
Humana $50 94%
Medicare (plans) $50 94%
Aetna $51 - $286 96%
Node Bluecare Plus Tn Mcr Adv $51 96%
Node Devoted Health Mcr Adv $51 96%
Node Farm Bureau Mcr Adv $51 96%
Node Healthspring Mcr Adv $51 96%
Node Hospice Non Par Agree $51 96%
Node Va $51 96%
Node Wellcare Mcr Adv $52 98%
Windsor Health Plan $52 98%
Node Nhc Mcr Adv $55 103%
Us Department Of Labor $63 118%
Novanet Work Comp Tn $79 148%
Tn Work Comp $80 150%
Ambetter / Centene $94 177%
Self Pay $108 203%
Point Comfort Underwriters $110 207%
Cigna $171 321%
Multiplan $358 672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals