CMS Price Transparency Data

Blood antibody screen

Facility: Upland Hills Health

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $60
Cash Discount Price: $117
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Upland Hills Health is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.13x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $117 (220%)

Insurance Median: $60 (113%)

Cash: $117 (220% of Medicare)

Ins. Median: $60 (113% 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.

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
Blue Cross Blue Shield	$4 - $60	8%
UnitedHealthcare	$4 - $10	8%
Ghc Of Eau Claire	$5	9%
Ghc Of Sc Wi	$5 - $147	9%
Mhs	$5 - $60	9%
Dean Health Plan	$25	47%
Humana	$60 - $194	113%
Icare	$60	113%
Medical Associates	$60 - $162	113%
Security Health Plan	$60	113%
Quartz	$67	126%
Alliance	$122	229%
Wps	$132 - $136	248%
Cigna	$161 - $180	302%
Multiplan	$190	357%

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 $117.
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 Upland Hills Health 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.