CMS Price Transparency Data

Blood antibody screen

Facility: Memorial Hospital of Carbon County

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $100
Cash Discount Price: $91
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Memorial Hospital of Carbon County is $100. 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 1.88x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $100 (188%)

Cash: $91 (171% of Medicare)

Ins. Median: $100 (188% 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	$57 - $122	107%
Medicare (plans)	$57 - $69	107%
Vaccn	$57 - $69	107%
Three_River_Providers_Network	$82 - $100	154%
Wise_Provider_Networks	$82 - $100	154%
Zelis	$82 - $100	154%
Corechoice	$98 - $120	184%
First_Choice_Health	$98 - $120	184%
Cigna	$101 - $124	190%
UnitedHealthcare	$105 - $128	197%
Interwests_Ppo_Network	$106 - $129	199%
Multiplan	$106 - $129	199%
Medicaid / KanCare	$109 - $133	205%

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 $91.
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 Memorial Hospital of Carbon County 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.