CMS Price Transparency Data

Blood antibody screen

Facility: Bellin Health Oconto Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $131
Cash Discount Price: $115
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Bellin Health Oconto Hospital is $131. 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 2.46x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $131 (246%)

Cash: $115 (216% of Medicare)

Ins. Median: $131 (246% 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 246% of the Medicare baseline (a markup of 146%). 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
Blue Cross Blue Shield	$20 - $61	38%
Community Care	$60 - $61	113%
Humana	$60 - $61	113%
My Choice	$60 - $61	113%
Network Health	$60 - $153	113%
UnitedHealthcare	$72 - $126	135%
Aetna	$88 - $90	165%
Cigna	$124 - $129	233%
Common Ground	$127 - $135	239%
Chorus Community Health Plan	$131 - $135	246%
Aspirus Arise	$137 - $141	257%
Healthsmart	$140 - $144	263%
Ihs(Claimsbridge)	$140 - $144	263%
Medical College Of Wi	$140 - $144	263%
Hps/Paymedix	$144 - $160	270%
Wps Insurance	$147 - $151	276%
Allied National	$149 - $153	280%
First Health	$149 - $153	280%
Galaxy Health	$149 - $153	280%
Three Rivers Provider Network	$158 - $162	297%
Trilogy	$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 Health Oconto 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.