CMS Price Transparency Data

Blood antibody screen

Facility: Timpanogos Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $16
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Timpanogos Regional Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.30x the Medicare baseline. Located in 750 West 800 North, Orem, UT.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $252 (473%)
Insurance Median: $16 (30%)
Cash: $252 (473% of Medicare)
Ins. Median: $16 (30% 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
Cigna $9 - $11 17%
Humana $9 - $10 17%
Molina Healthcare $9 - $10 17%
Blue Cross Blue Shield $10 19%
Coventry Altius $10 19%
Health Choice $10 19%
University Of Ut $10 19%
Veteran'S Administration $10 19%
Bright Health $20 38%
Pehp $31 - $39 58%
Aetna $54 - $90 101%
Regence $70 - $113 131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 750 West 800 North, Orem, UT 84057
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals