CMS Price Transparency Data

Blood antibody screen

Facility: Bellin Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $124
Cash Discount Price: $115
vs. Medicare Baseline: 2.33x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Bellin Memorial Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.33x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $115 (216%)

Insurance Median: $124 (233%)

Cash: $115 (216% of Medicare)

Ins. Median: $124 (233% 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 233% of the Medicare baseline (a markup of 133%). 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
UnitedHealthcare	$12 - $126	23%
Network Health	$28 - $135	53%
Aetna	$45 - $50	85%
Blue Cross Blue Shield	$45 - $201	85%
Community Care	$45 - $101	85%
Humana	$45 - $101	85%
My Choice	$45 - $50	85%
Common Ground	$55	103%
Chorus Community Health Plan	$57 - $116	107%
Aspirus Arise	$121 - $130	227%
Cigna	$123 - $128	231%
Wps Insurance	$128 - $153	240%
Hps/Paymedix	$130 - $144	244%
Trilogy	$133 - $137	250%
Healthsmart	$140 - $144	263%
Ihs(Claimsbridge)	$140 - $144	263%
Medical College Of Wi	$140 - $144	263%
Multiplan	$140 - $144	263%
Allied National	$149 - $153	280%
First Health	$149 - $153	280%
Galaxy Health	$149 - $153	280%
Three Rivers Provider Network	$158 - $162	297%

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 $115.
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 Bellin Memorial Hospital 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.