CMS Price Transparency Data

Blood antibody screen

Facility: Marshfield Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $49
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Marshfield Medical Center is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $126 (237%)
Insurance Median: $49 (92%)
Cash: $126 (237% of Medicare)
Ins. Median: $49 (92% 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 Cross Blue Shield $5 - $61 9%
Security Health Plan (Shp) $5 - $67 9%
Group Health Cooperative Of Eau Claire $6 - $202 11%
Managed Health Services $6 11%
Veteran'S Administration (Va Ccn) $10 19%
Family Health Center (Fhc) $23 - $110 43%
Amish/Mennonite $25 - $121 47%
Sanford Health Plan $25 - $121 47%
The Alliance $32 - $184 60%
UnitedHealthcare $34 64%
Besse Forest Products $39 - $187 73%
Molina Healthcare Of Wi $39 - $187 73%
Rice Lake School District $39 - $187 73%
Trilogy $41 - $211 77%
Wps Health Insurance $41 - $212 77%
Cigna $43 - $207 81%
Healtheos By Multiplan Inc. $43 - $209 81%
Medica Of Wi $43 - $208 81%
Corvel $44 - $209 83%
Coventry $44 - $211 83%
First Health $44 - $209 83%
Health Partners $44 - $209 83%
Health Smart $44 - $211 83%
Three Rivers Provider Network (Trpn) $44 - $209 83%
Rising Medical Work Comp $45 - $213 85%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals