CMS Price Transparency Data

Blood antibody screen

Facility: Lewisgale Hospital Alleghany

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $153
Cash Discount Price: $747
vs. Medicare Baseline: 2.87x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Lewisgale Hospital Alleghany is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $747. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.87x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$747

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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: $747 (1403%)

Insurance Median: $153 (287%)

Cash: $747 (1403% of Medicare)

Ins. Median: $153 (287% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 287% of the Medicare baseline (a markup of 187%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United Mine Workers	$10	19%
Good Samaritan Hospice	$10	19%
Virginia Premier Health	$10	19%
Cigna	$10	19%
Align Senior Care	$10	19%
Aetna	$10 - $403	19%
Devoted	$10	19%
United Behavioral Health	$10	19%
Sentara Health	$10	19%
Humana	$10	19%
United	$10 - $336	19%
Clear Spring Health Plan	$10	19%
Blue Cross Blue Shield	$10 - $61	19%
Greenbrier Sporting Club	$14	26%
Lifeworks	$142	267%
Universal Healthcare Group	$164	308%
Virginia Health Network	$261 - $530	490%
Greenvbrier Sporting Club	$448	841%
Corvel	$538	1011%
Occunet Workers Comp	$598	1123%
Csx Hotels	$598	1123%
Health Payors Organization	$635	1193%
One Health Plan	$672	1262%
Multiplan	$672	1262%
Alleghany Highland Community	$672	1262%
C&O Employees Hospital Assn	$672	1262%
Community Care Network	$672	1262%
4Most	$672	1262%
American Postal Workers Union	$672	1262%

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 $747.
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 Alleghany 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.