CMS Price Transparency Data

Blood antibody screen

Facility: Lewisgale Hospital Montgomery

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $83
Cash Discount Price: $378
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Lewisgale Hospital Montgomery is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $378. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.56x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$378

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $378 (710%)

Insurance Median: $83 (156%)

Cash: $378 (710% of Medicare)

Ins. Median: $83 (156% 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
Aetna	$10	19%
Align Senior Care	$10	19%
Blue Cross Blue Shield	$10 - $46	19%
Cigna	$10 - $66	19%
Clear Spring Health Plan	$10	19%
Devoted	$10	19%
Good Samaritan Hospice	$10	19%
Humana	$10	19%
Pyramid Life	$10	19%
Sentara Health	$10	19%
United	$10 - $170	19%
United Mine Workers	$10	19%
Virginia Premier Health	$10	19%
Lifeworks	$72	135%
Universal Healthcare Group	$83	156%
Virginia Health Network	$132 - $268	248%
Greenvbrier Sporting Club	$227	426%
Corvel	$272	511%
Richfield Nursing Center	$284	533%
Richfield Retirement Community	$284	533%
Multiplan	$291	547%
Community Care Network	$302	567%
Graham-White Manufacturing	$302	567%
Occunet Workers Comp	$302	567%
One Health Plan	$302	567%
Phcs	$321	603%
Patients Choice	$333	625%
4Most	$340	639%
American Postal Workers Union	$340	639%
Star Transportation	$340	639%

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 $378.
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 Lewisgale Hospital Montgomery 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.