CMS Price Transparency Data

Blood antibody screen

Facility: Banner Wyoming Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $103
Cash Discount Price: $47
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Banner Wyoming Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.93x the Medicare baseline. Located in 1233 East 2Nd St, Casper, WY.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $47 (88%)

Insurance Median: $103 (193%)

Cash: $47 (88% of Medicare)

Ins. Median: $103 (193% 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
Humana	$10	19%
Interwest Health	$10 - $115	19%
Prime Health Services	$10 - $115	19%
UnitedHealthcare	$10 - $97	19%
Naphcare	$13 - $14	24%
Banner Health	$29 - $32	54%
Blue Cross Blue Shield	$72 - $80	135%
Imagine Health, Llc (Wka Wise Provider Network)	$88 - $96	165%
Hue Health, Inc	$91 - $99	171%
Cigna	$93 - $102	175%
Medica	$96 - $105	180%
Mountain Health Cooperative (Co-Op)	$100 - $109	188%
First Choice Health Network	$102 - $111	192%
Multiplan	$102 - $111	192%
Coventry	$103 - $112	193%
First Health	$103 - $112	193%

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 $47.
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 Banner Wyoming Medical Center 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.