CMS Price Transparency Data

Blood antibody screen

Facility: Aurora Baycare Medical Ctr

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $99
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Aurora Baycare Medical Ctr is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.86x the Medicare baseline. Located in 2845 Greenbrier Rd, Green Bay, WI.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $91 (171%)
Insurance Median: $99 (186%)
Cash: $91 (171% of Medicare)
Ins. Median: $99 (186% 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 $8 - $168 15%
Aurora Caregiver $10 19%
Blue Cross Blue Shield $10 - $170 19%
Everpointe Elite $11 21%
Centivo $21 39%
Common Ground $21 39%
Aetna $22 - $165 41%
Health Payment Systems $24 45%
Quartz One $24 45%
Healthpartners $26 - $150 49%
Hs Technology $27 51%
Molina Exchange $27 51%
Quartz Group $28 53%
Cigna $29 - $169 54%
Wisconsin Physician Service $32 - $33 60%
Trilogy $34 64%
Health Eos Plus $99 - $120 186%
Health Eos $132 - $160 248%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2845 Greenbrier Rd, Green Bay, WI 54313
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals