CMS Price Transparency Data

Blood antibody screen

Facility: Southwestern Vermont Medical Center

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 0.5× the $53 Medicare rate · typically $9–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Well above the fair price
about $27 over the fair price · 1.0× Medicare
Medicare pays $53 Fair price $28 This hospital $55 Cash price $161 Hospital's list price $230

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

On the higher side — 4 of 6 other VT hospitals charge less.

Cheapest $10 Priciest $116

Black dot = this hospital, among the 7 VT hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $28 (about 0.5× the $53 Medicare rate). Southwestern Vermont Medical Center charges insurers about $55, or about $161 in cash — well above the fair price. Located in Bennington, VT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $28. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $7 - $55 13%
Blue Cross Blue Shieldmajor $55 103%
Aetnamajor $55 103%
Cignamajor $55 103%
Humanamajor $55 103%
CDPHP $55 103%
Fidelis Care $55 - $57 103%
MVP Health Care $6 - $55 11%
WellCare $55 103%
+ 1 smaller / regional plan $55

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 Hospital Drive, Bennington, VT 05201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals