CMS Price Transparency Data

Blood antibody screen

Facility: Lds Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $63
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Lds Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.18x the Medicare baseline. Located in 8Th Avenue and C Street, Salt Lake City, UT.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $74 (139%)
Insurance Median: $63 (118%)
Cash: $74 (139% of Medicare)
Ins. Median: $63 (118% 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
Donor Connect $1 - $25 2%
Aetna $10 - $84 19%
American Health $10 - $53 19%
Blue Cross Blue Shield $10 - $75 19%
Health Partners Of Nevada $10 - $53 19%
Humana $10 - $55 19%
Molina $10 - $81 19%
Selecthealth $10 - $61 19%
Southwest Behavioral Health $10 - $49 19%
UnitedHealthcare $10 - $84 19%
Health Plan Of Nevada $29 - $53 54%
Intermountain Caregiver Plan $42 - $47 79%
Triwest $51 96%
Emi $53 100%
Healthy U $53 100%
Deseret Mutual $56 - $57 105%
Awh Connected $62 - $63 116%
Cigna $62 - $84 116%
Emi Health $68 128%
Pehp $68 - $87 128%
Byu Risk Management $69 - $72 130%
Corporation Of The President $69 - $72 130%
Wcf Insurance $69 - $72 130%
Byu Athletics $71 133%
Campbell Scientific $71 133%
Corvel Corporation $71 133%
Franklin County $71 133%
Ifit $71 133%
Juniper Systems $71 133%
Lw Miller $71 133%
Managed Care Admin $71 - $77 133%
Tanner Llc $71 133%
Utah Tech $71 133%
Injury Care Of Nevada $74 139%
Prodegi Corp Benefit $81 152%
Uofu $81 152%
Springtide $82 154%
Altius Mhnet Behavioral Health $84 158%
First Choice $84 158%
Global Excel $84 158%
Medcare International $84 158%
Motivhealth $84 158%
Utah Behavioral Health Network $84 158%
Wise Network $84 158%
Hygeia Corporation $88 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8Th Avenue and C Street, Salt Lake City, UT 84143
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals