CMS Price Transparency Data

Blood antibody screen

Facility: Bear River Valley Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $79
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Bear River Valley Hospital is $79. 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 1.48x the Medicare baseline. Located in 905 North 1000 West, Tremonton, UT.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $79 (148%)
Cash: $63 (118% of Medicare)
Ins. Median: $79 (148% 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 - $55 19%
Blue Cross Blue Shield $10 - $79 19%
Health Partners Of Nevada $10 - $53 19%
Health Plan Of Nevada $10 - $74 19%
Healthy U $10 - $74 19%
Humana $10 - $55 19%
Molina $10 - $79 19%
Selecthealth $10 - $79 19%
UnitedHealthcare $10 - $79 19%
Triwest $51 96%
Injury Care Of Nevada $63 118%
Byu Risk Management $71 133%
Corporation Of The President $71 133%
Corvel Corporation $71 133%
Wcf Insurance $71 133%
Awh Connected $79 - $80 148%
Byu Athletics $79 148%
Campbell Scientific $79 148%
Cigna $79 148%
Deseret Mutual $79 148%
Emi $79 148%
Emi Health $79 148%
Franklin County $79 148%
Global Excel $79 148%
Health Utah $79 148%
Hygeia Corporation $79 148%
Ifit $79 148%
Juniper Systems $79 148%
Lw Miller $79 148%
Managed Care Admin $79 148%
Medcare International $79 148%
Motivhealth $79 148%
Pehp $79 148%
Prodegi Corp Benefit $79 148%
Springtide $79 148%
Tanner Llc $79 148%
Uofu $79 148%
Utah Tech $79 148%
Wise Network $79 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 905 North 1000 West, Tremonton, UT 84337
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals