CMS Price Transparency Data

Blood antibody screen

Facility: Unitypoint Health - Meriter

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $44
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Unitypoint Health - Meriter is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.83x the Medicare baseline. Located in 202 S Park St, Madison, WI.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $95 (178%)
Insurance Median: $44 (83%)
Cash: $95 (178% of Medicare)
Ins. Median: $44 (83% 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
UnitedHealthcare $6 - $52 11%
Health Partners Open Network $14 - $44 26%
Aspirus $21 - $72 39%
Blue Cross Blue Shield $23 - $113 43%
Wellmark Uph Self-Funded $23 - $69 43%
Cigna $25 - $36 47%
Security Health Plan $27 - $37 51%
Mercy Care $32 - $40 60%
Medical Associates Health Plan $34 - $43 64%
Quartz $37 69%
Humana $52 98%
Illinicare $52 98%
Meridiancare $52 98%
Prevea 360 $52 - $101 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals