CMS Price Transparency Data

Blood antibody screen

Facility: Cedar City Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $75
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Cedar City Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.41x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $63 (118%)
Insurance Median: $75 (141%)
Cash: $63 (118% of Medicare)
Ins. Median: $75 (141% 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
Aetna $10 - $80 19%
American Health $10 - $59 19%
Blue Cross Blue Shield $10 - $79 19%
Health Choice $10 - $74 19%
Health Partners Of Nevada $10 - $56 19%
Health Plan Of Nevada $10 - $74 19%
Healthy U $10 - $74 19%
Humana $10 - $59 19%
Molina $10 - $79 19%
Selecthealth $10 - $75 19%
Southwest Behavioral Health $10 - $49 19%
UnitedHealthcare $10 - $75 19%
Triwest $52 98%
Corporation Of The President $63 118%
Corvel Corporation $63 118%
Injury Care Of Nevada $63 118%
Wcf Insurance $63 118%
Byu Risk Management $71 133%
Awh Connected $75 - $76 141%
Byu Athletic Department $75 141%
Campbell Scientific $75 141%
Deseret Mutual $75 141%
Emi $75 141%
Emi Health $75 141%
Franklin County $75 141%
Global Excel $75 141%
Ifit $75 141%
Juniper Systems $75 141%
Lw Miller $75 141%
Managed Care Admin $75 141%
Medcare International $75 141%
Motivhealth $75 141%
Pehp $75 - $79 141%
Prodegi Corp Benefit $75 141%
Tanner Llc $75 141%
Uofu $75 - $79 141%
Utah Tech $75 141%
Wise Network $75 141%
Cigna $79 148%
Health Utah $79 148%
Hygeia Corporation $79 148%
Springtide $79 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals