CMS Price Transparency Data

Blood antibody screen

Facility: Tristar Ashland City Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $14
Cash Discount Price: $1,016
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Tristar Ashland City Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,016. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.26x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.

Cash / Self-Pay

$1,016

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $1,016 (1908%)

Insurance Median: $14 (26%)

Cash: $1,016 (1908% of Medicare)

Ins. Median: $14 (26% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $508	15%
Ambetter / Centene	$10 - $11	19%
American Health Advantage	$10	19%
Bright Health	$10 - $12	19%
Devoted Health Plan	$10	19%
Evergreen Hmo	$10	19%
Healthspring	$10	19%
Humana	$10 - $254	19%
Sarah Cannon Research	$10	19%
United	$10 - $457	19%
Wellcare	$10	19%
Zing	$10	19%
Atrio Golden Times	$11	21%
Signature Advantage	$11	21%
Corvel Corporation	$14	26%
Novanet	$14	26%
Prime Health	$14	26%
Blue Cross Blue Shield	$15 - $2,000	28%
Cigna	$17 - $317	32%
Oscar	$29	54%
Kentucky Labor Cabinet	$187	351%
Apex Health	$193	363%
Nhc Advantage, Inc.	$193	363%
Pruitt Health (Allyalign)	$193	363%
Amerigroup	$315	592%
Bgfh Singlesource	$508 - $864	954%
Multiplan	$559	1050%
Southern Health Partners	$610	1146%
Employers Health Network	$711	1335%
Odom'S Tn Pride Sausage	$762	1431%
Beech Street	$935	1756%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,016.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tristar Ashland City Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.