CMS Price Transparency Data

Blood antibody screen

Facility: Holy Cross Hospital-Davis

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $82
Cash Discount Price: $63
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Holy Cross Hospital-Davis is $82. 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 1.54x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $82 (154%)

Cash: $63 (118% of Medicare)

Ins. Median: $82 (154% 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
Cigna	$8 - $125	15%
Medicaid / KanCare	$8	15%
Uuhp	$8 - $10	15%
Humana	$10	19%
Medicare (plans)	$10	19%
Employer Direct Healthcare	$12	23%
Centura Employee Plan	$13	24%
Motivhealth	$13	24%
Select Health	$17 - $77	32%
Molina	$20 - $67	38%
Blue Cross Blue Shield	$58 - $104	109%
Pehp	$67 - $91	126%
Aetna	$69 - $132	130%
Wise	$81 - $83	152%
Deseret Mutual Benefit Administrators	$96	180%
Multiplan	$108 - $143	203%
UnitedHealthcare	$114 - $157	214%
Emi Health	$136	255%

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 $63.
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 Holy Cross Hospital-Davis 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.