CMS Price Transparency Data

Blood antibody screen

Facility: Snoqualmie Valley Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $27
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Snoqualmie Valley Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.51x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $35 (66%)
Insurance Median: $27 (51%)
Cash: $35 (66% of Medicare)
Ins. Median: $27 (51% 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
Blue Shield Of Wa Regence $15 28%
Aetna $25 - $35 47%
Amerigroup Wellpoint $25 - $30 47%
Community Health Plan Of Wa $25 - $26 47%
Medicare (plans) $25 47%
Molina Healthcare Of Washington Mcr Adv $25 47%
Blue Shield Of Wa Regence Mcr Adv $26 49%
Humana $26 49%
Molina Healthcare Of Washington $26 49%
UnitedHealthcare $26 - $56 49%
Washington Coordinated Care $26 - $30 49%
Community Health Plan Of Wa Mcd Rep $28 53%
Medicaid / KanCare $28 53%
Molina Healthcare Of Washington Mcd Rep $30 56%
Blue Cross Blue Shield $36 68%
Kaiser Foundation Health Plan Of The Northwest $38 71%
First Choice Health Network $42 79%
Cigna $48 90%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9801 Frontier Ave Se, Snoqualmie, WA 98065
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals