CMS Price Transparency Data

Blood antibody screen

Facility: Lewisgale Hospital Pulaski

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $53
  • Cash Discount Price: $240
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Lewisgale Hospital Pulaski is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $240. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.00x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.
Cash / Self-Pay
$240

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $240 (451%)
Insurance Median: $53 (100%)
Cash: $240 (451% of Medicare)
Ins. Median: $53 (100% 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 - $108 19%
Align Senior Care $10 19%
Blue Cross Blue Shield $10 - $47 19%
Cigna $10 19%
Clear Spring Health Plan $10 19%
Devoted $10 19%
Evernorth Behavioral Health $10 19%
Good Samaritan Hospice $10 19%
Humana $10 19%
Magellan $10 19%
Pyramid Life $10 19%
Sentara Health $10 19%
United $10 - $108 19%
United Mine Workers $10 19%
Virginia Premier Health $10 19%
Lifeworks $46 86%
Universal Healthcare Group $53 100%
Virginia Health Network $84 - $170 158%
Greenvbrier Sporting Club $144 270%
Corvel $173 325%
Richfield Nursing Center $180 338%
Richfield Retirement Community $180 338%
Multiplan $185 347%
Community Care Network $192 361%
Graham-White Manufacturing $192 361%
Occunet Workers Comp $192 361%
One Health Plan $192 361%
Patients Choice $211 396%
4Most $216 406%
American Postal Workers Union $216 406%
Phcs $216 406%
Star Transportation $216 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Lee Highway, Pulaski, VA 24301
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals