Blood antibody screen
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $52
- Cash Discount Price: $43
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Geha | $10 | 19% |
| UnitedHealthcare | $10 - $60 | 19% |
| Harvard Pilgrim Healthcare | $10 | 19% |
| Aetna | $11 - $60 | 21% |
| Webtpa | $13 | 24% |
| 1199 National Benefit Fund | $13 | 24% |
| Luminare Health | $13 | 24% |
| Nippon Life Ins | $13 | 24% |
| Allied Benefit Systems | $13 | 24% |
| Meritain | $13 | 24% |
| Hap | $13 | 24% |
| Gravie Admin Services | $13 | 24% |
| Cigna | $33 - $62 | 62% |
| Health Partners | $33 | 62% |
| Allegiance | $33 | 62% |
| Magnacare | $33 | 62% |
| Blue Cross Blue Shield | $40 - $60 | 75% |
| Health New England | $41 | 77% |
| Connecticut Dept of Correction | $50 | 94% |
| Blue Shield - Id (Regence) | $52 | 98% |
| Kaiser Domestic | $52 | 98% |
| Pre-Employment | $52 | 98% |
| Bcn Domestic | $52 | 98% |
| Blue Care Network | $52 | 98% |
| Blue Shield - Ny Highmark Western | $52 | 98% |
| Blue Shield - Ca | $52 | 98% |
| Health Choices | $52 | 98% |
| Blue Benefit Administrators of Massachusetts | $52 | 98% |
| Blue Distinction Transplant | $52 | 98% |
| Unicare | $52 | 98% |
| Blue Shield - Ny Highmark Northeastern | $52 | 98% |
| Wc Domestic | $52 | 98% |
| Blue Shield - Wa (Regence) | $52 | 98% |
| Blue Shield - PA (Highmark) | $52 | 98% |
| PHCS | $53 | 100% |
| Mvp | $53 | 100% |
| Paramount HMO | $53 | 100% |
| Dean Health | $53 | 100% |
| Pan-American Life | $53 | 100% |
| Asrm - Reliance Standard Life Insurance | $53 | 100% |
| Allied National Global Care | $53 | 100% |
| Ghc Scw | $53 | 100% |
| Lifetime Benefit Solutions | $53 | 100% |
| Family Life Insurance Company | $53 | 100% |
| International Benefit Administrators | $53 | 100% |
| Christian Care Ministry | $53 | 100% |
| Manhattan Life | $53 | 100% |
| Pai | $53 | 100% |
| Multiplan | $53 | 100% |
| Trinity Health Share | $53 | 100% |
| Medi Share | $53 | 100% |
| Medicare (plans) | $60 - $62 | 113% |
| Cca Senior Care Options | $61 | 115% |
| Prime Health Services | $62 | 116% |
| Connecticare | $64 - $70 | 120% |
| Health Smart | $66 | 124% |
| Claimdoc | $128 | 240% |
| Innovative Health Plan II | $128 | 240% |
| Diversified Administrators | $128 | 240% |