CMS Price Transparency Data

Blood antibody screen

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $73
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Intermountain Health Heber Valley Hospital is $73. 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 1.37x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $73 (137%)
Cash: $63 (118% of Medicare)
Ins. Median: $73 (137% 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 - $74 19%
American Health $10 - $25 19%
Blue Cross Blue Shield $10 - $74 19%
Health Partners Of Nevada $10 - $25 19%
Humana $10 - $25 19%
Molina $10 - $74 19%
Selecthealth $10 - $74 19%
UnitedHealthcare $10 - $74 19%
Health Plan Of Nevada $25 - $74 47%
Healthy U $25 - $74 47%
Triwest $28 - $63 53%
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%
Cigna $71 - $74 133%
Medcare International $71 133%
Springtide $71 133%
Uofu $71 133%
Byu Athletics $73 137%
Campbell Scientific $73 137%
Emi Health $73 137%
Franklin County $73 137%
Ifit $73 137%
Juniper Systems $73 137%
Lw Miller $73 137%
Managed Care Admin $73 137%
Motivhealth $73 137%
Prodegi Corp Benefit $73 137%
Tanner Llc $73 137%
Utah Tech $73 137%
Wise Network $73 137%
Awh Connected $74 - $75 139%
Deseret Mutual $74 139%
Emi $74 139%
Intermountain Caregiver Plan $74 139%
Pehp $74 - $75 139%
Global Excel $75 141%
Health Utah $75 141%
Hygeia Corporation $75 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals